Laserfiche WebLink
CONTINUATION FORMPage: of_ <br /> OFFIC A INSPECTION REPORT Date:cwt /L+ <br /> Facility Address: 221 t SSI \ (J 1 Program: zzz <br /> SUMMARY OF VI <br /> CLASS I, CLASS II,or ]NOR-Notice to Com <br /> w <br /> � f <br /> o mj' Cas IId Go S <br /> o W a nQrs 20 L 1qhr <br /> ort x - cJori uS r-lb <br /> a ' I drr Ms W Iabe� Inc µ, ms <br /> e CCurnct I� <br /> a11A d Y-Ufv\ k� ti C) <br /> W <br /> WLM - _ �� u 11 W <br /> 21, <br /> XSC4Ctlj6A O" q ruM 4 0✓1 <br /> /1 iS <br /> (2C ( rt o a n <br /> I.,h2 <br /> b0314- or or 'hller"�- <br /> Co J W+m CONE" <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 /> 0 V,'4ar eViIC >�11 <br /> THIS FACILITY IS SUBJECT TO REINS ECTION AT klY TIME EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Re Title: <br /> SAN J COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET, STOCKTON, CA 95202 <br /> Phone:(209)468-3420 Fax:(209)464-0138 Web vnvw.sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV 11/25/09 ' CONTINUATION FORM <br />