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CONTINUATION FORM opPage: <br />OFFICIAL INSPECTION REPORT <br />2 <br />Date: 124�(o 6 <br />Facility Address: 13 0 & yos&MB A-✓emtc <br />Program: U.S-F <br />usT � IJ�&Gt�oiu R.g-P�-27 ; <br />3 t�WL Gu i tN I t� c�P o �NsoU % Krvls i �-t tzorzw� ) <br />CCN C TPv1Jy-f-M -- i g fF D NGD PCOut R -G P A?i <br />TI�IIG A14D W-" P&XM S 0 F -T-1 667 1.3 y 1/9-/o'7. <br />µ �Atiill 1�'1 A ,ANT "�1/✓/iNGGA2, o/�ls/ <u Tzt G77Yifi� D <br />L* 1w • >zsao 11b ANn S Gr>Ds S ani Z ZFwl"14 Al <br />Udt 6 A NAVaA1- 6LS1911,1 ✓ e 09 1 1? -N <br />eRu.$ O AM, Ar-UPGNT okg= Vl1,t, ittE 4 NJIWC44h, PZQ9dAX1,91C1r-f A7,)/� <br />D Su& rr 1T 7-b oPP-tcc By t >s o 7 <br />•tt 7 U1 r-r'S 1 1gc., gp ro w <br />N WtIS lXkVu f2ICC6(i1�2,F�i /N 772F PAST <br />12 "ND-tS • PRA406" l/JFO vN Dr Itc <br />G1712R-vc4-T-6 - PAo9f-ne-E /jnm�Ai2 t . <br />!- 11 Se"ole lAf qi AAIP D/ PS "C-66- NOT 77tF tow - <br />PD1 NT N -CMAIp ell fiNr 'm c4Uy-og&.4 "pF- 6F rc--natogDom <br />ORS AT- -04 / i Dvnza A tp�C <br />,or A7 Tm eowttw-r . &7~ iiP/�i�d P�f� ls�i3 Go <br />D --S I rls . <br />23 ewpt Ielc 1r - N cr-otoj 401JCP A)d4AI-pAD 2 % 7Z) <br />CU2 S A-7117 Y'> HI-AnD 1r /N A1,i, <br />cin r" WI 1N 3 RPrItEr �hvNvtn2t '1 -17VtV ~ - - B1n T <br /><1 Gop\-1 C>F m/v& 1 g v7 <br />024 M' Z 5 T MxYD (,l,,e f WA10ft nQbA117&0tAJ6661e7! P�t'�r- <br />T o 7/0,5r."owr 7v GGR 1b N ?6Sgca) <br />G41T AaJD Lzlq?L ?}K : T ,�7 <br />lz In lvD3 -s mW Sart& -/W?ff M,1, 4-e6 <br />6wpt/LI✓ a lel 4 ?t In NV <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT NY TIVE AT EHD'S CU NT HOURLY RATE. <br />EHD Inspector:�' ^ <br />M �m 'U" \ <br />Receiv d B 41 <br />Title: <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEp'ARTMENT• 3�4 E WEBER AVE, STOCKTON, CA 95202 (209) 468-3420 <br />EHD 23-02-003 <br />