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CONTINUATION FORM <br />OFFICIAL IN PECTION REPORT <br />Page: !�, of 75� <br />Date:3/21/,,u1-0 <br />Facility Address: <br />Program: zuto <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR -Notice to Comply) <br />a aC r j 4 ql 1914 q 4ft <br />62 o CA <br />PALM <br />mrd S. ` I © us ►, <br />C)r- 4- n a cel I^r?.0 <br />;al u / <br />✓ des � � <br />A 0q <br />rzmi tAJ ► ry-i <br />U,14 <br />G <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 FACI ITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Inspe <br />R eive B <br />Title: <br />rANOAQUIN 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 />