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r-] <br />F1 <br />CONTINUATION FORMPage: <br />OFFICIAL INSPECTION REPORT <br />Facility Address: --A b <br />s4c.4claa.,� Q <br />of 1�4 <br />Date: 12-30-o`1 <br />Program: <br />I <br />SUMMARY OF VIOLATIONS <br />(CLASS 1, CLASS 11, or MINOR -Notice to Comply) <br />d) <br />A <br />e� I <br />74�r jvj <br />to ee- alld51A, iftJ <br />LAC <br />t <br />-- <br />--/=4, <br />6 -4 42 <br />C <br />-3 <br />Mid - tA <br />I(Vll:�4 <br />7,e <br />—Z <br />Ar> <br />1 -z5-1 <br />e - <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($1 <br />THIS FAC ITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD lnspectol:�...� <br />Received By: h(j;j*z P774s, <br />I Title: <br />L -F - r4;1 - <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />600 EAST MAIN STREET, STOCKTON, CA 95202 <br />Phone: (209) 468-3420 Fax: (209) 464-0138 Web www.sjgov.org/ehd <br />EHD 23-02-003 <br />REV 11/25/09 CONTINUATION FORM <br />