Laserfiche WebLink
CONTINUATION FORM Page: f� <br /> ' OFFICIAL INSPECTION REPORT Date:/ �P <br /> Facility Address: _ S,' _ Prc'gram: <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> i\j Jib L' Oorj <br /> r 19 Pry . <br /> v 1 ' U I r' / v^� IIS r L Nil 7 r �ZJ 4- <br /> I r C7 <br /> ! t <br /> C L►lI6n r1 P A - S & L'/n CA <br /> di- `Ct, - <br /> 04 <br /> ( ,y 1 A ,r �•C .�c %� _rte S ,%�/� r LA12 Ul <br /> � 4 , <br /> }-� <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING f0 C�MPLY BY THE ABbvE'N D TES WILL BILLED AT THE CU�2RENT HOURLY RATE($105). <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT THE EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Received By: ` �- Title- <br /> SAN <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//OB CONTINUATION FORM <br />