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CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date. <br />Facility Address: I Y2 re-fly-6 4ke, <br />Progra t <br />r <br />� L <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR-Notice to Comply) <br />2 , e Ge�►h n I � �-1-a� . ,ev <br />�G <br />_i G COA I-4- i M eA l- rfbv ewe �,, <br />Ztsv t <br />(i ti✓ �-. �-� �B �� 1 vire., <br />n� <br />.�r orY2zltA prys : � <br />IJG <br />rev <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($105). <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT THE EHD'S CURRENT <br />HOURLY RATE. <br />EHD Inspector: V (!� �%/ �� <br />Received By: <br />Title: <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />600 EAST MAIN STREET, STOCKTON, CA 95202 <br />Phone: (209) 468-3420 Fax: (209) 464-0138 Web www.sjgov.org/ehd <br />EHD 23-02-003 <br />REV 09/12//08 CONTINUATION FORM <br />