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f r,, <br />CONTINUATION FORM lugs: -L Of, . <br />OF-RdAL INS 0ECTI'0N REP RT _ Date: e7 11 f b <br />Facility Addre4s: CA Program: <br />SUMMARY OF 1. 1 <br />r .... <br />(CLASS I; CLASS II, or MINOR -Notice io Comply)Fq- <br />Utz <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED ,4T THE CURRENT HOURLY RATE (5915). <br />THIS, FACILITY IS SU, JECT TO R,EINSPECTION,AT ANY TIME AT EH 'S CURRENT HOU LYATE. <br />H® Inspector: ;�^-'" — 1 Recel d y: i Title <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />600 EAST MAIN STREET, STOCKTON, CA 95202 <br />Phone: (209) 468-3420 Fax: (209) 464-0138 Web vNAv.sJgov.org/ehd <br />EHD 23-02-003 <br />i2El 11!26!09 ' CONTINUATION FORM <br />