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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. socehd , com /index . html <br /> ,CONTINUATION FORM Page : of <br /> OFFICIAL INSPECTION REPORT Date , <br /> Facility Address : (� CA Program : p1� <br /> SUMMARY OF VIOLATIONS <br /> ( CLASS I , CLASS II , or MINOR-Notice to Comply) <br /> ScJQACL <br /> C4 e, Jn <br /> oppm 211 , I <br /> E ® boS I <br /> 50t A wX CCc l� , �� "� 6 . a / 3 � f <br /> X PTS? � tuai , -s Si A ejw a u5 45 - Ab (z -t <br /> ® rl� LAJf f Si ri I I I O :It o� r <br /> Sot I e, msz-i . ex eajucL - � ^I • i <br /> LA dace_ -2� vA� d ' - <br /> a� nd c e ' ou ua N tk 41Ac 40 tA101mrd1�1a - <br /> AYA ir P51AP e3 <br /> h &ckCks <br /> 2 oecw0.�; k 4 V — Ott 4 <br /> cue ou L x x �. P qlv( A - CXA 4 IN <br /> , <br /> 1 R <br /> av 411 _ <br /> omot) n <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 REINSP C ON AT NY TIME AT EHD ' S CURRENT HOURLY RATE , <br /> EHD Ins ector: Rece ed By: e: 6CA *t <br /> EHD 23-02-003 Rev 04/02/14 CONTINUATION FORM <br />