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CONTINUATION — OFFICIAL INSPECTION REPORT PAGE: .a- OF_ ______i_ <br />DATE: 1- I -c ' ) <br />PROGRAM <br />SITE COMPUTER# <br />SITE NAME: ‘ <br />-1-e--A-r-f- • <br />SITE ADDRESS: <br />Z C.) '-6 rn cu-NA ruut s -"b r <br />-.X.-/--N1 ?ocoi C a <br />,)-, - poc) I I, y ;_-k1,6-1.11,_,2_ D0j 6-1),...„2_ 3. .2-- P r C-o rh_.-1-__ 0 - )--- <br />10 5p ck 4.1 t 00e e tek 4 _61_ <br />S F6\ 9 54°F c__ :0c)I cmee rn t9 'YI --V <br />51)(N Dve-r Loo pro-) <br />..e7r. (11...61(.8 c3 1'o 0I S haLt 10-t eib <4 c:--r ill-atiirl Clra-A- r-1 <br />L-: - 'Lb 4 V i 5 ct_,6 Lk <br />1-:- 0,k Liar ;ft.& 4Z5b )14.3)-1 A +an (-4) ca..---e( Cox f) <br />K-12_0-,e p Gto S4_44_ U -1-i I c-Pt_ Le-i C..% 6c..-1-1-t.-.. •D.. -C - ( 0 <br />6 bLe/2--r•- 1 - "2- -2,-C) a-,--,4_ ,. ) --',---r\--L-t/L4 ' "___. t J vl -11-2-r- too <br />ST (x- +I, re clu Le_ cAtvi,*c L_ <br />fl)- p A s r..t. rfrintD-r- Lzt-e.K. Lki-e..4 c..L c r 0--3,‘-_ 0— r i'rl Pr c ii-- ct_t ) to <br />t (A)-4..._aK_ <br />'Roo i LAJ-4.-c ifk-c. -./24-c.t, Ss 6 6 CIA) C ( r , . I ID C y F 1-2 --os - <br />(170) MAL-6r i rt.e --f-r4_61.4_-1-- i-v. stis,..t,C6 1,%-.) 5 <br />--kb It 4-, ,:.v\ 6a.s 'co 4 <br />6 vazaf 60-14-‘ -pa° Is ar‘ a_ cka..: l.,. i a_ a n_c_a_ d.e_ce _b cv2;--, <br />1- k)D1-4--k -pnnt +0 kLA_ RI - p Las4J'IkA Lex 5.e,p+ acio . <br />0-f-fi (-2-- 10 t-f-D re._ ±k-i -1-a-K-e Lc:t ce C-ASLQ 1--,2-ai eadvtA.L-e.s(i) to <br />GO- (40 -7(--1-VP <br />)---i 144/1 7 <br />K\Or--4-vo 1 l\\Liu +i tu s W;----P- )t <br />----R --/ 0 0 Sa a 1---i i-ie4 <br />?co I <br />StocA <br />INSPECTOR— L.,ci 4cAcitt„, cki„..ut ,.) RECEIVED BY , <br />.1 <br />Pub. Health-Enviro. Health 169 (2/96) ORIGINAL <br /> HUT-4 5/88