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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:-hftp://www.sacehd.com/index.html <br />EHD 23-02-003 Rev 04/02/14 1 '0� CONTINUATION FORM <br />,CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: �2 of <br />Date: <br />Facility Address: <br />(,�,� �k ��- <br />Program: <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />s ' <br />wo d L 44 o I� <br />a <br />QST � ; � r Q (��.- l� C� �--� i� <br />S � � ►����� e� <br />J --NIA 70 5 J - <br />'lOC�t� k- <br />ezAVL-]0 <br />l <br />1 J <br />J� <br />inqc Qf <br />^ <br />C "-� <br />^ I <br />' <br />E �@ftRd Y <br />1� Y <br />r <br />' <br />e <br />' <br />3 - a 11\rA\ 2 <br />e NN <br />u e1-- - �UotetdQ� <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 EH 'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />Received By: <br />Gll�' � !iv <br />Title: �- <br />\)� (1J <br />EHD 23-02-003 Rev 04/02/14 1 '0� CONTINUATION FORM <br />