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SAN CdACOU _ SIN <br /> Environmental Health Department <br /> Greatness grows here. <br /> NOTICE TO ABATE <br /> FACILITY TYPE/NAME: �, , 04f. DATE: i L (z <br /> r n <br /> SITE ADDRESS: ,: (t" ` CIN: ZIP CODE: n <br /> OWNER/OPERATOR: U 'i <br /> _10 A I TELEPHONE: <br /> TYPE OF COMPLAINT ❑ ROUTINE ❑ CONSULTATION ❑OTHER PROGRAM �. n R CQ <br /> INSPECTIONELEMENT: I �LLU �1 1 <br /> NATURE OF COMPLAINTNIOLATION: <br /> r cs <br /> VIOLATIONS/O SERVATIONS: <br /> L 2 G f eA <br /> CORRECTIVE ACTIONS/ORDER: <br /> e t c <br /> jj <br /> ..._ _................ ..... _.._.._._.._ _....... � <br /> CORRECT BY: �kS ; ILI 1 n ILL <br /> COST RECOVERY:All EHD sta 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 owner or person in possession who objects to the finding of violations cited on this notice may request an office hearing by <br /> filing a written request-With the San Joaquin County Environmental Health Department within 30 days of receipt of this notice. <br /> INSPECTED BY: Lh_ (AfITA Undwa <br /> PRINT NAME: <br /> W � <br /> SIGNATURE OF REGI E ENVIRONMENTAL HEALTH SPECIALIST 1 <br /> RECEIVED BY: j T �� DATE: I` <br /> SIGNATURE OF OWNERIOPERATOR t <br /> EHD 48-042 8-1-17 Notice to Abate <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />