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CONTINUATION FORM Page: 5 of <br /> OFFICIAL INSPECTION REPORT Date: Z12i�/7oj� <br /> Facility Address: /6j A PA S1-o C � Pro ram: <br /> o 4- AL l O (-f, 671L I to <br /> SUMMARYO <br /> �l CLASS I, CLASS 11,o MINOR-Notice to Compl ) <br /> rA-Q- ; n qAk O?v J� I� 6.14ek 10.4 .4 <br /> dm i)q r-11 fis //// / <br /> Lr�� � W C ltlSS S <br /> 7 2 2 <br /> n. <br /> 500 ,�� � .>t � �l= wve�� <br /> —ol C7 <br /> I �') /��110( -r;4101 Z U�l /1 6LQ D © rVl <br /> t et-!'dL'7uL_ � ct�l pyl <br /> 7 " <br /> r /! s ; c r <br /> Sr. v ,,tAIR, Le/Hc <br /> r- s <br /> c <br /> G1I i 1 i� •' / r '-f'04 <br /> Tyc <br /> S <br /> C. M <br /> D M i,s%-kl� � e .-JP t pr Oyt rain v ! <br /> onsrt� � - <br /> o i 40 �. f�v2 -6? C t 7 UPa SC r r V C S <br /> ALL EHD STAFF TIME ASSOCIATED WITH F LING TO COMPLY BY THE ABOVE NOTED DA ES WILL BE BILLED AT Th CURRENT HOU LY RAT <br /> THIS FACILITY IS SUBJECT TO REINSPECTIO TA TI HD' CURRENT HOURLY RATE. <br /> EHD Inspector:. ) Receive $ Title: <br /> C <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 www.sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV 11/25/09 CONTINUATION FORM <br />