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CONTINUATION FORM Page: of <br /> OFFICIA INSPECTION REPORT Date4w r, 2010 <br /> Facility Address: $' 2 Program: <br /> , <br /> SUMMARY O <br /> CLASS I, CLASS II, or INOR-Notice to Com I <br /> .5-f o r S- 4 in 11 96 qt s <br /> Caw 6L S46 ►— S� <br /> O a r-ct�t -r,-41-e 2-2 <br /> zs o d m ' <br /> oS cF <br /> 01 � <br /> A) 11w <br /> S2. <br /> �- i r &Ls <br /> r <br /> II,�l'ytit r VL G(Y'�►1 <br /> 77 <br /> 60 � o <br /> r � <br /> /'- - S - c uo cc.I l y- <br /> � s � <br /> _ s - 3 0-� <br /> r -� S M fl <br /> &-fy <br /> r G�l U.c a s Q 1/1� r ✓ <br /> ✓a�nk ar �o <br /> c�►'� Vor W <br /> p1�' ► / - �� al <br /> d�J c�i v�'o -��tM ,��ra�eN Q o Coiie cart 40 r <br /> 911 <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 /> �tl a y, p Zo t <br /> THIS FAC TY IS UBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: �/ Received By: Title <br /> /I <br /> SA 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 />