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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 06/25/09 CONTINUATION FORM <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: <br />Facility Address: <br />rMAN tV', <br />Program:2-V, <br />T <br />r0 #*N <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />e1''Ypa <br />re <br />er 60 441AJ <br />-feL) <br />r <br />! <br />"f py4m <br />hove- ?Le "16 <br />Abg 9 f'a <br />i 1TJ <br />UWrt.� AA <br />M I- <br />Cke&&L <br />Nb uM A i.. <br />" l vti <br />Iqj <br />Cetu <br />v) ON j1e <br />coa <br />v/ft <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($105). <br />Hourly rate will be $115 beginning August 1, 2009. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />0-4 <br />EHD Inspector: <br />Received By: <br />itle:�`%'TJ�✓1v <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 06/25/09 CONTINUATION FORM <br />