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a <br />k/ w <br />SAN 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 03/12//08 <br />CONTINUATION FORM <br />CONTINUATION FORM lw <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: IY/S;d8i <br />Facility Address:- 1 <br />�� <br />Program: <br />SUMMARY OF I <br />(CLASS I, CLASS II,r MINOR -Notice to Compl <br />r <br />• h- <br />�-�'✓ <br />5 wr <br />m Lo --4 Qa <br />pWt' <br />O . ' ti <br />f� <br />iti. Ct? <br />6 S v9, <br />.,, <br />df <br />Jam�++ � �s5 Mwt'/� <br />�✓ <br />C.._b <br />V-'75,71,6-7-1) r <br />., "-- <br />5 <br />% o,, 4 - <br />4 beL, <br />Q 6c, <br />i %% K I V tr14 I We.S 4- 4 S,/ <br />-T <br />tip. <br />�„ �' <br />LL _ L`• <br />4c- bwAree4• iT 4 � �flL�v+ <br />1�,a - t�-T�jG <br />ALL EHD STAFF TIME ASSOCIATED <br />WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($105). <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIMP AT THA EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />Ry: _ <br />eceiv B <br />Title -L 0114 <br />k/ w <br />SAN 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 03/12//08 <br />CONTINUATION FORM <br />