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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: http://www.s4cehd.com/index.html <br />EHD 23-02-003 Rev 04/02/14 I:f-j CONTINUATION FORM <br />,CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: +i' i,A l i <br />Facility Address: <br />Program: <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />o <br />n nncA Ac -A <br />e*c <br />i � \ <br />Cg- `3C is <br />/e <br />i <br />1111n <br />GAIIIA®r > e11' s <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 T1,09E AT EHD'S CURRENT HOURLY RATE. <br />EHD Inspect r. <br />Receiv By: <br />Titl <br />.�.���04 - <br />EHD 23-02-003 Rev 04/02/14 I:f-j CONTINUATION FORM <br />