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' <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: - f � <br />Date:/ i �7 <br />Facility Address: <br />_ S,' <br />_ <br />Prc'gram: <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />- U� `� I (� <br />Jib -O U r j - <br />r 19 Pry. <br />v 1 ' U <br />I r'.r / v^� IIS r L Nil 7 r �ZJ 4- <br />I r C7 <br />! t <br />a4 <br />( <br />- �L,D <br />Lll I6n <br />r1 r P A - S <br />Q L'/n CA <br />di- `Ct, -04 <br />Al2 vim;, <br />� 4 , <br />}-� <br />ALL EHD STAFF TIME ASSOCIATED WITH <br />FAILING f0 C�MPLY BY THE ABbvE'N �D TES WILL � BILLED AT THE CU�2RENT HOURLY RATE ($105). <br />THIS FACILITY IS SUBJECT <br />TO REINSPECTION AT ANY TIME AT THE EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />Received By: <br />`_ �-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 />