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CONTINUATION FORM <br />' OFFICIAL INSPECTION REPORT <br />Page: f <br />Date:�� <br />Facility tIdress: �, j <br />Progra :'vjS, <br />A4 ri I1 <br />USC <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />"�' �''//1 (.t . C: i �Z. 5 ` i ��.0 t � : y� N� � f :.. %� � (. ^y,'✓� f ,.. ��i' n �` <br />7 <br />led <br />/t <br />x, ^ fJ a'41,141,61 11 <br />'l <br />lG f,�" Gi 1 i h t �t � , 71 �.� �b, <br />r7 <br />, <br />�"'14 C7 CGS L, <br />i t t -�.^ 4", <br />44 ill" i. % v t,- �. t.n,y , (' 1 A -,C ( 1-'-41k' <br />�v2tN NSP c o N 5- l-tAV If SPfS-4W4 !o P�CTtl <br />Fe I VAPL� o s s �-e Ps ,d ---P A.0 cE� v Q �s v nc �� i � N 6 <br />E N S L) 2 c (�e4 i W A� rt) o - CPrtL e -i2 LL) E -t t c" <br />l,- t N NIL i &7 is i C =S �" ©N t_ <br />�- Ef C— If NGS Cz N i 9- ,'4 � ('2 U� W 1+ 7-0C�cc tf 6 NGr c <br />GD AJ Tq /Z M (R E( (Z 1 Ni �c�-C 2 / T • tai m <br />C ( ' f C=S —ro -F"(:f ac— L;ZCG(-e A -41I &t &- TlUS Pie f <br />l.) fl -13 Pr -L -&-or S f f Wa-��6W t -kr -m— <br />I fm 14 ( At -(E-7 (V 14-0V C -,C , P- UA ( V c -(--c f qCS A -L <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($115). <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT E A EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />t <br />Received By: <br />Title: <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,iw r, <br />`REV_ -11/25/09 CONTINUATION FORM <br />i <br />