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--------- - ---- - -- <br />------------- ......... ........ <br />- ----------------------- ------- <br />----- ------- - ------ - ------ --- ------- --- --------- <br />: ---------- ------- - <br />------------ <br />Alk <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 />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: Of <br />Date: <br />Facility Address: <br />//.)/Zr &�W o � Cft C"v7? <br />Program:' <br />SUMMARY OF VIOLATIONS <br />(CLASS 1, CLASS 11, or MINOR -Notice to Comply) <br />/POUI-7� <br />4J1 9A74 <br />z/ <br />-17w <br />RLbe? ZZfi2e23L-:1ed <br />If f <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 ANY IMEAT EHD'Sq#URRENT <br />HOURLY RATE. <br />EHD Ins <br />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 <br />REV 11/25/09 CONTINUATION FORM <br />