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• SAN JOAQUIN COUNTY • 9 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org/ehd/unitiii.html <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: 4 of 4 <br />Date: 05/01/12 <br />Facility Address: AM PM Hammer/15 Food 3250 W. Hammer Ln. Stockton, CA <br />Program: UST <br />SUMMARY OF VIOLATIONS <br />CLASS 1, CLASS II, or MINOR -Notice to Comply) <br />Complete and submit a copy of the Return to Compliance Certification form with a statement of how <br />each violation was corrected, including supporting documentation, by 6-1-12. <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 REINSPEC AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />Aris Cacapit (209) 468-3453 <br />Re ived y: <br />Tdle: <br />EHD 23-02-003 Rev 07/12/11 CONTINUATION FORM <br />