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I CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: 1 /1 I / z <br /> Facility Address: - -(4_r-d A.1 Program: 2 3 6 i <br /> SUMMARY OF VIOL IONS <br /> I / e /v' - ,!1sor © 29 --� lI' Sump AL law ! <br /> I" i rrAl i S 0 l C" 1 aA 0 fhcI A, !'hurl c ,n <br /> - l <br /> nirr s <br /> 2. - 11 . 0 - scr - ` � e i es <br /> _r <br /> rlGvf2-4o U.S 5 <br /> Q I <br /> r - o "( � Z <br /> o <br /> all 3-011 Sun+ .1 <br /> 1q , 44"1'/' ILAk" a Fa rmg A-r6) r oLieWll m "un LL)e <br /> . - c �jd <br /> k '- ;l / <br /> rA r e✓+ 0 <br /> ,P 141ed <br /> s <br /> m Ai llpmedt�t 154V <br /> ff oU r "d Imil" qQa Avwo X-:W <br /> lir ora�✓!1 u utQ <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 FACILITX IS SUBJE T TO REINSPECTION AT ANYTIME AT EHD'S CURRENT HOURLY RATE. <br /> it <br /> EHD Inspector: Received By: XY1 <br /> Title: <br /> SAN JOA COUNTY ENVIRONMENTAL H ALTH 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 06/25/09 CONTINUATION FORM <br />