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CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date:3 13l o©j <br />Facility Address: W, G14 (4 "Irs, q <br />L Lzbn <br />Program:2 <br />236 <br />iAk m ON'( e� <br />n <br />SUM ARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />orre u?'j i eJ ro rCO dol f <br />ttL, <<e, �- <br />rvL• p 4-e- v 1 <br />tS i lG`1-7 <br />13 0 <br />9 1 c1 24 "A&) N S f'D1 i L� <br />CiP-0 uiplikkitIX <br />v )rs2. LU4A zn %1 <br />r -Q &o <br />co uvI/IiLe— <br />_ N ti urn,Q <br />l'A4'-I(GT-1 <br />i F 2(`h,&r /Z 0-0 tvi us <br />4 M e^jh--,l <br />f\A ; 0 <br />l it Oe 4,r\ o #1 i t A -A LJO" t L <br />k�l nC v t U <br />I/vZ 14 <br />AA i Utl, t' <br />Zld v <br />f 1 n- <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 />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT THE EHD'S CURRENT HOURLY RATE. <br />E ector: <br />Receive y: <br />Title: 1/—ck <br />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 09/12//08 CONTINUATION FORM <br />