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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: /-20- /d <br /> Facility Address: a _ - l r' CA <br /> `� 6 /(wwy N Program: <br /> SUMMARY OF VIOLATIONS <br /> 6t <br /> CLASS 1,CLASS II,or MINOR-Notice to Com I <br /> opj <br /> ry <br /> 06 SOP <br /> r 4 or a✓a 7+�s tNt r1�'C (p �/ Miw► �1 Ow W <br /> l�l` 1 IJD'tEd 1d � N �1 M`� V�NG✓ Qr <br /> 2 <br /> 46, <br /> d h ta 'IN 4 firy fiworAl AcAUAWk <br /> 1, Z�j. h ISG do 1v�»r s 196 dA4k ; ! <br /> 4 L`r1 <br /> UNi tree AN do s <br /> „ 2 coo. s <br /> +r v� r �: I�dn �✓� Id drkl�s. <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: ro <br /> 1 <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 CONTINUATION FORM <br /> REV 11/25109 <br />