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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 , swcehd , com/index . htmi <br /> ,CONTINUATION FORM Page : 3 of <br /> OFFICIAL INSPECTION REPORT Date : 5 - 3 - 2.zl <br /> Facility Address : Q � Cr Program : .1357 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I , CLASS II , or MINOR- Notice to Comply) <br /> t1fpt 4,0 <br /> a C r2_ <br /> (OX`I e <br /> X S 4c ( ts as,u-! 1-t e e ,p <br /> eJ� p2 - y , s' 6! Qy*A <br /> S <br /> �-- - P ` t ' & o - 0 ran <br /> ( 0 . 0 ,m <br /> a <br /> pig <br /> k, -° 00000 ) <br /> PA lbab< Ca 0 . 9� <br /> + PAsW aA ( ) S - o M . <br /> CYL <br /> � b (t <br /> AAAA <br /> fir <br /> TV <br /> Ltr Q/;QXexc vaA o h <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 REINSPE I AT ANY TME AT EHD ' S CURRENT HOURLY RATE . <br /> EHD Inspector: eceiv By: cKl Title: <br /> Cc,w?.0 . n'\ <br /> EHD 23-02-003 Rev 04/02/14 v \ 9 <br /> CONTINUATION FORM <br />