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'— CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: -L— of <br />Date: - <br />Facility Address: <br />at <br />Program: <br />SUMMARY OF VIOLATIONS <br />(CLASS 1, CLASS 11, or MINOR -Notice to Comp <br />f) tiv <br />A) Jig), Sy4glp m-gok V9 I a <br />jALm keg: codl <br />bUdet <br />Q 0-1144 j k�3' lamo+ V-sh <br />vko ftj'L hMQ- IA <br />dk-Njo I r-8 , �APAAA Ciffift C-aho g' Uva Laic <br />, <br />1-7 cm (i 6m. c6* mg;�e-A iva (,n �2ecufi'vf-, �� rm fe, <br />Ls rb c, N, r IAj AA �4ztk& tes-�, <br />�A 4WIC, k �4Ap <br />C'AA1 <br />blickok <br />vwn— <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE V ; A ED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($105). <br />,I <br />Hourly rate will be be�NOTED <br />_ AuguqktT, <br />THIS FACILITY IS SUBJECT TO REINSPEC ION CURRENT HO LY AATE. <br />EHD Insp <br />ENV <br />SAN JOAQ*UINOUNTY, I ONMENTAL HEALTH DEPARTMENT <br />STOCKTON, CA CCGZDG <br />09) _68- 20 x: (209) 464-013.8 Web www.sjgov.org/ehd <br />EHD 23-02-003 ff11--e- <br />REV 06/25/09 CONTINUATION FORM <br />