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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.s'cehd.com/index.html <br /> ;CONTINUATION FORM Page: a o <br /> OFFICIAL INSPECTION REPORT Date: (-C11I k�I <br /> Facility Address: Program: <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> 0 <br /> -pDqni A maimanro ck <br /> nuv�;ah(v-, <br /> a5z , b4in&nc,& W <br /> Ao, Gprmm 2�-UM�W In Y" MOA VIC w0'9Ar----/ eaxmyl IrPrSA <br /> N ri�pvl <br /> 1 r)-r 0112n aa4ljA offovir9- <br /> 1010 <br /> C <br /> -- f <br /> f W,U rA D <br /> .UP]l <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 Inspector: Received By: Title: <br /> EHD 23-02-003 Rev 04/02/14 CONTINUATION FORM <br />