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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 />CONTINUATION FORM <br />EHD 23-02-003 Rev 04/02/14 <br />,CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: �.� -3p ->C <br />lc <br />Facility Address: t ar jw�,(E�� S 112.1 t eoa CA <br />Program: 3S1 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR -Notice to comply) <br />QJI(W <br />Our <br />1 S <br />\ <br />rt <br />Q <br />(INt' -ham sc <br />e�r e. <br />CC4 9'* <br />Q.« �i <br />Q <br />ALL EHD <br />STAFF TIME <br />ASSOCIATED <br />WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED <br />AT THE CURRENT HOURLY RATE. <br />THIS <br />FACILITY IS SUBJECT <br />TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />e cl <br />o <br />Re a L11 <br />G <br />Title: i p� <br />C4)k\ u4 In /' yrs <br />CONTINUATION FORM <br />EHD 23-02-003 Rev 04/02/14 <br />