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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: httr)://www.s*cehd.com/index.htmi <br /> ,CONTINUATION FORM Page: of Z._ <br /> OFFICIAL INSPECTION REPORT Date: <br /> Facility Address: 5501T- GK&y&f'l/ GL " Program: <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> t sh o K-e "r <br /> -Tpl efl' ie- SAOdere cf w <br /> m— oK- +� bw r� r� s�� �r�ble s�►ol�Ce. J e-f e c--fcv <br /> ,`lel— D <br /> 0_ 3110K-e- f-dor <br /> 3 9-- Ve-,vk,+-4�� b Iry &u(-c+q%ot- secare/ ro Ke vl <br /> 113—17o ,� 64 I�OU/� Lroon v�M WOGIc WP4 Iiu OCj <br /> rC4-C,9+ VuKz-'K. <br /> 13-S— Coc 1cop-daR-S. <br /> 22 u -- s►� f ego Vr-+It f m b roKe-n <br /> S noxce- +ems Ve-4-.t b leo ICPM <br /> lr/C� f,Ike e.k�r n� tom;Shre�✓S Irii S S;�►� <br /> i 2 t g- l oo S e , VeyX <br /> dojf er <br /> I ( Go L4,Cf rie-— `M S eco o ii <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: / � Cu Received By: Title: <br /> EHD 23-02-003 Rev 04/02/14 CONTINUATION FORM <br />