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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: 12� <br /> Facility Address: c< A Program: <br /> C"/asy IZ 701 36j3Z SUMMARY --�\ �0) �� $ <br /> rMINOR-Notice to Comply) <br /> ym <br /> G r <br /> - g ►fit S <br /> c-� L�1 ' D ' C3 V��IS 'o� Y1� <br /> to <br /> _11 s r 1,0 , 14 �(�Y <br /> n l5"�I, c r M 4jjj7b;f) \0aA Cars <br /> cl b <br /> r r�-e <br /> J Q S �LV -Amps) <br /> S Ir A it O 1111SI <br /> I� <br /> 2. VV al C , 'e arw S. <br /> oL rn Su <br /> � h i S I)A(AL-4 I-1-(!e. <br /> r01_M L;< J <br /> o c� I <br /> �n -f' of 3a ca <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($115). <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Received By:. Title: <br /> .r 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 11/25/09 CONTINUATION FORM <br />