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n <br />L J <br />r-1 <br />�S I:N�j iR'tdt?s��ys'✓ <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: 129/o <br />110 <br />Facility Address: 10 <br />V/, YLO Vk &1,4 <br />Program: 2220 <br />q Abp`{ 4r <br />>_ <br />SUMMARY OIF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />— Nb`C t G C TO <br />/l► L `� <br />o <br />w Pl <br />re, awra <br />iwn <br />r -j r <br />w&I'k, NU <br />Ao v #,>A <br />en Si <br />v <br />WA 4,4 <br />i <br />is N <br />Gem <br />t c.c, <br />i y c �- <br />w Y <br />6M <br />141 <br />,0 1 <br />z <br />b! <br />N71 <br />Ll <br />c� <br />o <br />aGGuM v <br />s Q �' <br />� <br />�i., <br />Arer•� o rZ <br />z <br />'1u/� <br />�- <br />^ <br />r <br />''ov! Ap <br />�w <br />rear <br />r-epF kp-,Doil- <br />on kotj <br />ln�&A fqmz( <br />f-aV rrp1 allAV - w kLl-- SIC, O U a,) <br />t 1 rn <br />fAA4dl <br />rfll e, <br />ptwr <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL <br />BE BILLED AT THE CURRENT HOURLY RATE ($11 5). <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: K <br />�V <br />v <br />Received By: <br />Title: n <br />Q4�/lf/r9.�-e �K� -t� P <br />�S I:N�j iR'tdt?s��ys'✓ <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 />