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a <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: -2,_ of <br />Date: 57—/0— /D <br />Facility Address: <br />Program: <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, orMINOR-Noticeto Comply) <br />�+ <br />v 1 <br />/ 'lel! ' �C/` -54e— ` <br />ri <br />v. to / 1,+ <br />14c- <br />! f <br />� <br />� <br />N (r- <br />I D <br />1 y. cl <br />. <br />A G, uta ���1-ate lr � r <br />�•- 1 <br />-606 oLe, S ' <br />w <br />G L. <br />h 0. <br />,0re, <br />a �Jl <br />n <br />Iw/ 047 <br />S Ong <br />1bse/M. h! <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 />TAS FACILITY IS SUBJECT TO REINSPEC I AT ANY TIF4E AT EHD'S CURRENT HOURLY RATE. <br />EHD In t r: <br />eive y- <br />Atle: / C <br />1/r - - <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 <br />REV 11/25/09 <br />CONTINUATION FORM <br />