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a <br />a <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: 3 of <br />Date: <br />Facility Address: 4 q� h, Q L �f n <br />3J�21�� <br />Progra <br />_ -� U ri <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS 11, or MINOR -Notice to Comply) <br />e - 6 41� <br />/�-JS�N►�v <br />_ <br />r <br />lllr✓ L/4L/v <br />vel.., � ,,-� ' �►' 1 i �i•� <br />2 �� <br />M <br />our- u <br />✓v <br />A <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 TIME AT EHD'S CURRENT HOURLY RATE. <br />EHDI ctor: <br />IjA-x <br />Received <br />Title: <br />/ <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 />