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AN JOAQUIN COUNTY ENVIgD NAL"HEALTH DEPARTMENT <br />600 EAST MAIN ST EET, 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 />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: q`(q <br />Facility Address: <br />Program:22?ti <br />2 04 r <br />eL v\ <br />D^ <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />c v oN �- <br />o►'j <br />4 <br />C vCl `% ` ( <br />I v <br />i l J vL r LI1iY <br />[A-, <br />U <br />' k v <br />X r-� M��S j <br />T <br />1on <br />on <br />~J� r <br />�l <br />►�, <br />��r loot/ , <br />r <br />v <br />p <br />Kj t 6 v t IYI, Gv r� <br />L <br />ALL EHD STAFF TIME ASSOCIATED <br />ITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED <br />AT THE CURRENT HOURLY RATE ($105). <br />THIS FACILITY IS SUBJ <br />CT TO REINSPECTION AT Y E AT THE EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: U1 <br />Received B <br />Title: <br />AN JOAQUIN COUNTY ENVIgD NAL"HEALTH DEPARTMENT <br />600 EAST MAIN ST EET, 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 />