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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: I-28-I0 <br /> Facility Address: . Program: RIK/ <br /> 54b 5_ (�- r' qs� <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS ll, or MINOR-Notice to Com 1 <br /> CO Ub 1b a laa� cb-0116- a3q& <br /> N <br /> E i 111 dI <br /> S A196 dVu` <br /> At � <br /> ::P Ali wA I!J <br /> f (�eN. FYI G �✓ <br /> rtw l ;A) vVmw) w <br /> ��. v►tr�v,� � h�c� <br /> Gorlre�,iw <br /> G <br /> THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMELY BY <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT END'S CURRENT HOURLY RATE. <br /> EHD Inspector: <br /> Received By: ,{ Title: 0 <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.sigov.org/ehd <br /> EHD 23-02-003 CONTINUATION FORM <br /> REV 11125109 <br />