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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date:y /S'164i <br /> Facility Address: 6 2 Z 15 . C Q.r 4,t„ K10 , s A6 Program?220 <br /> x ,q eve rOj <br /> SUMMARY OF VIOLATIONS <br /> CLASS 1, CLASS II,or MINOR-Notice to Comply) <br /> NA <br /> n edIcyJ <br /> 7l.TS ; 1/ y6S6jF4 Z70 h t 4 ��K... <br /> '-0 L FDi'M D r2 At <br /> Prj)L1jb4oK- wWI <br /> 14A2A"0&"( f f !i uff es <br /> Eat 9tXA - U N f Q (- c cel Y r- C. fPeAeq1r <br /> V ; i ', l- N N e M ro <br /> rryi ewe-& <br /> /-U✓y I r CUP4 G 2Ar'A KMOC , <br /> A`rAI j <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 /> Hourly rate will be$115 beginning August 1,2009. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Luk Received By: ; 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 w .sjgov.org/ehd <br /> EHD 23L2-003 <br /> REV 06/25f09 CONTINUATION FORM <br />