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CONTINUATION FORM Page: of_ <br /> OFFICIAL INSPECTION REPORT Date: (l/l? 16 <br /> Facility Address: 2Z �f G Program: Z <br /> rlv .4�c., V S r� /2ejoprL, <br /> SUMMARY OF VIOLATION <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> 7/6 1^ --rM P& - <br /> -d?1. — A / d a AA4✓!/ 6 /'m I'n <br /> I ci �&- <br /> file i� }� W CIC !v(i Jam, PrDV t 1A <br /> lbl/w yl— <br /> Ain P [ <br /> �( b, lI DKI Apk arre4kEP4 <br /> i -f f l Ile ay if <br /> ree rn W-YI e4 (9a <br /> r t rw 2v-4 wte^ -t° <br /> F b <br /> l I L j 6 <br /> ply- ti cr S / <br /> 4t,d5 i-f N cj� _ era <br /> r <br /> ,6L 6 & /0% G <br /> C 12 Ui n&l <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 REINSPECTIO AT ANY T E AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: r n� , /- _ Receiv Title: <br /> V vSAN JOAQ(UNIN_C�OUNTY 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 23-02-003 <br /> REV 11/25/09 CONTINUATION FORM <br />