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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205111,6232 <br />Telephone: (209) 468.3420 Fax: (209) 468.3433 Web: http://www sicehd.com/index.html <br />EHD 23-02-003 Rev 04/02114 <br />CONTINUATION FORM <br />,CONTINUATION FORM <br />Page: OT -j2 <br />OFFICIAL INSPECTION REPORTDate:j <br />Facility Address: ' �� �(. �� �Y Q, COQ <br />Program: <br />SUMMARY OF VIOLATIONS <br />(CLASS <br />I, CLASS II, or MINOR=Notice to comply) <br />1 0 <br />t <br />v�,o✓� �Q <br />N o v `, LJ <br />, <br />al l Vv`,1J� Q �p X02 LjII <br />rp. , <br />► ; a v <br />a 53 gm-4wos <br />,s s, <br />�t <br />( cas , <br />o LI !Aj all <br />Li, Olt�-- <br />Q r <br />Yp <br />,LoL <br />!k (AIIIIIIC <br />oP <br />r� <br />LA <br />I <br />l .l LA LA <br />` <br />OLA ( 0 <br />C'0 OLC4V r \*I 1Pi <br />,tL 2 <br />s o p <br />II <br />-4k <br />� <br />q4A <br />%InI( 24 4A,\ <br />ALL EHD STAFF 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 ANY TIME AT EHD'S <br />CURRENT HOURLY RATE. <br />EHD Inspector: ( <br />1% l .P 1I I�C1�4t- L <br />Recei "d y: <br />\jItj ein+�' 6 <br />Title: <br />0 ►� �r - u <br />EHD 23-02-003 Rev 04/02114 <br />CONTINUATION FORM <br />