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< ' c : SN_ 0AQUIN Environmental Health Department <br /> 01 . <br /> . � COUNTY <br /> Greatness grows here, <br /> y„faott;�'''• <br /> NOTICE TO ABATE <br /> FACILITY TYPE/NAME: unvommeci DATE: <br /> SITE ADDRESS: CLWlt CITY: 1111 11 ZIP CODE: <br /> OWNERIOPERATOR: TELEPHONE: <br /> I t��r /rj V�, Ki'( aS TELEPHONE: <br /> TYPE OF COMPLAINT ❑ ROUTINE ❑ CONSULTATION ❑OTHER PROGRAMRECORD #I- <br /> INSPECTION ELEMENT L� I <br /> NATURE OF COMPLAINTNIOLATION: <br /> VfAN b vOft OR rU e� <br /> VIOLATIONS/OBSERVATIONS: <br /> 1I S <br /> CORRECTIVE ACTIONS/ORDER: ``/ �� y / n <br /> U1 t LI Vt�� w <br /> D <br /> CORRECT BY: � ',�{1(+1�, � <br /> COST RECOVEO''All EHD staff time associated with resolving this complaint will be billed at the current hourly rate($152). <br /> FAILURE TO COMPLY: Failure to Comply with this Notice May Result in Formal Enforcement Action. <br /> APPEAL PROCESS: Any ownor person in possession who objects to the finding of violations cited on this notice may request an office hearing by <br /> filing ritt,: .rgquest vjJb the San Joaquin County Environmental Health Department within 30 days of receipt of this notice. <br /> INSPECTED BY: PRINT NAME: /, <br /> SIGNAT EGISTERED ENVIRONMEN L HEALTH SPECIALIST 4! <br /> RECEIVED BY: DT <br /> f01 DATE: I' <br /> SIGNATURE OF OWNERIOPERATOR <br /> EHD 48-042 B-1-17 Notice to Abate <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />