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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.sicehd.com/index.html <br />EHD 23-02-003 Rev 04/02/14 CONTINUATION FORM <br />,CONTINUATION FORM <br />Page: <br />of <br />F ICIAL I PECTIO REPORT <br />Date: <br />� <br />,,'� <br />ref <br />Facility Address: � , �, <br />C Program: <br />SUMMARY OF <br />VIOLATIONS <br />(CLASS I, CLASS II, or MINOR <br />-Notice to Compl <br />) <br />"1 <br />J I �. "" - y � .A 1 <br />d � <br />r <br />""..- L <br />C- <br />�� � r <br />a <br />� � <br />'� �� <br />CN., <br />® <br />__ t <br />•" � � �j <br />�� . <br />j <br />��ee <br />.i <br />r <br />�' � �. <br />- <br />U�C2 V�� <br />����, <br />_ <br />�%�e► �%���� <br />i). �S <br />'�s� <br />��� '~ —. <br />,� <br />. I� � <br />�. �� � <br />B i <br />a "tJ I <br />. �.. $ �� 1 <br />�-�� -��� 3 <br />(,J �Vs� <br />�, <br />`� <br />-� <br />.. <br />ALL EHD STAFF <br />TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT <br />ANY TIME AT EHD'S <br />CURRENT HOURLY RATE. <br />EHD Inspector: <br />Re iv y: <br />Title: <br />(�(� <br />� \%�. <br />to �� � r <br />t) d <br />EHD 23-02-003 Rev 04/02/14 CONTINUATION FORM <br />