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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 />FFICIAL INSPECTION REPORT <br />Page: of,:: <br />Date: t941 <br />Facility Address I lyyt LQ VkOA <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR -Notice to Compl) <br />p G�- - Program: <br />C]t? D t <br />6) <br />5111 d(o <br />� , S 46 <br />�1 <br />C ,15 s4 <br />f CAU k>�� Si <br />a <br />} I <br />l �% CLt <br />ISO <br />'JC, — � > . <br />ALL EHD STAFF TIME <br />ASSOCIATED WITH <br />FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE 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 Inspect r: <br />�Sla.ri <br />Receive <br />Title: <br />EHD 23-02-003 Rev 04/02/14 CONTINUATION FORM <br />