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r� <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: http://www.sjcehd.com/index.html <br />EHD 23-02-003 Rev 04/02/14 <br />�9 <br />.. , <br />CONTINUATION FORM <br />,CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: � � �[ <br />Facility Address: i <br />n(, � G1 � <br />Q c.� <br />Program: <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR -Notice to Compl ) <br />[ 0 <br />V � Q, Q.,r <br />� <br />�� �� <br />�519,lt�,� <br />i S� � 4sOar <br />�L � <br />�2:OL� <br />� � ` Gl + w <br />� <br />r --t Sfb s <br />v„c� Q � ane : <br />f��o �� _ �► <br />� <br />� <br />�t � ', � v <br />� a ,, <br />� � �� <br />- ` ,5 s, <br />� <br />� <br />I <br />� <br />Yp � u <br />~� � KJ�` C- <br />l�.-C�-V�- �` <br />J ` � <br />�� Q� <br />�/L.�� <br />I <br />r <br />RS � <br />'�-�!� � e.a��`0 <br />` � ` 6 <br />�0 <br />`� � P,w� <br />W. � f <br />�, \ V v '� Com/' <br />t�/� � Q <br />1 v�--� <br />y` � <br />ALL EHD STAFF TIME ASSOCIATED <br />WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE <br />BILLED AT THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SUBJECT <br />TO REINSPECTION AT ANY TIME AT EHD'S <br />CURRENT HOURLY RATE. <br />EHD Inspector: <br />Recei d y: <br />Title: <br />EHD 23-02-003 Rev 04/02/14 <br />�9 <br />.. , <br />CONTINUATION FORM <br />