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CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: --?of <br />Date: 1-5- /O <br />Facility Address: (S " <br />Program: <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR -Notice to Comply) <br />/ <br />i 5 e. .- . <br />a 4- (..Jbr O <br />ArviLAA <br />c <br />$ 3c> <br />rp r 6i <br />�-"t•9� <br />11944 G D 641 1 0— <br />N/i-� f.—"A f c7P%A— <br />4 I/fl6— C7• "-- Vr/M�^ �H/Ii�1�0/wax <br />,--`L- <br />1-,' Id <br />L ' <br />V101- 14dej <br />lop <br />W 7' <br />1 <br />L,kM ! t7 YhK <br />C <br />C+ 'C 111a *C7, <br />�y <br />P/ro� <br />r" 42r U <br />ff <br />� � 1 <br />L n <br />C4 fid/ Gam <br />rTfo� l^f clDi✓' ��5 <br />`I <br />rn Aa- n r <br />to Ins tc- <br />'� <br />j -Jpi,-Au-544r..1� 1cl' + <br />� N <br />I ir►+�aw <br />A <br />r ✓� <br />1 <br />fk <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($115). <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT WY TIME AT END'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />Receive <br />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 www.sjgov.org/ehd <br />EHD 23-02-003 <br />REV 11/25/09 CONTINUATION FORM <br />