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CONTINUATION FORM Page: of Z <br /> OFFICIAL INSPECTION REPORT TDate: [rizo%$ <br /> Facility Address: ( w� Program: <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II, or MINOR-Notice to Comply) <br /> � C <br /> CA <br /> 7 <br /> w a_a.1N hp7— <br /> ' s ad 'Kst- <br /> li- r <br /> Y o , <br /> rzA- <br /> �5 <br /> /- KlN en II// <br /> ct t" 1, r <br /> CA kc- <br /> ke / <br /> 64o L�14 1ti�� o C-0114.64 c� <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 /> FTHIS FACILITY IS SUBJECT TO REINSPECTION AT ANY ME THE EHD'S CURRENT HOURLY RATE. <br /> EHDInspector: Received By: - Title <br /> �4 Rn� -L <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET, STOCKTON, CA 95202 <br /> EHD 23-02-003 Phone:(209)468.3420 Fax:(209)464-0138 Web w .sjgov.org/ehd <br /> REV 02/12//08 CONTINUATION FORM <br />