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SAN JOAQUIN COUNTY 11b <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.s4cehd.com/index.html <br />,CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: ofjL- <br />Date: 4-4 )--2- of <br />Facility Address: { <br />Program: , <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />NCIA rn.. Ck r `Se i,� <br />Q-- <br />.` CSU ©,i F g <br />—d CA- C <br />i CjLV -F-e <br />( -ems_ <br />e <br />2cik `O�6pm ' n l P nCu v7e <br />a - <br />tuA-to ` a <br />a Q <br />Cl <br />t -f s ct� '�+, C� tau <br />10 <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 EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />LCa-Y110 <br />Received y: <br />Title: <br />�.� <br />EHD 23-02-003 Rev 04/02/14 �— �'+ ! CONTINUATION FORM <br />n <br />