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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: http://www.sicehd.com/index.htmi <br />v <br />EHD 23-02-003 Rev 04!02/14 CONTINUATION FORM <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: _ of -a <br />Date: <br />Facility Address: <br />Wfe-w%cx � Lo—An Uc-c <br />L o2g <br />Program: <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />QYVI aF �L I c <br />e- <br />�,2.� i <br />•l LAz SQ 0-f <br />C,A vt <br />sWA94- <br />LA)a.r tF w Sh <br />VOLIVQ- <br />Ax u� r` <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD InspencAto�r:`� (� <br />• wl I ��1 <br />eceived By: _ <br />4 <br />Title - <br />v <br />EHD 23-02-003 Rev 04!02/14 CONTINUATION FORM <br />