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CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: jo l f q <br />Facility Address: D(, M (� :Sri u� <br />Program: 2 22 6 <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />ix Lj re AIN o� ' �i i r--o� CQr i' i l� 1✓f <br />r v7 vJ 41e, re Or 4^rf ike -C' Z2 Z4 <br />7" �c as jo sf nv-,eA () !94 o j Zwzf6 <br />�e, <br />r <br />b S S/M&vl S (;,rx.. -u v <br />V.. e �s An' <br />•� ii- b y h I °!l0 <br />fb-7, - F41 i /?J 4-D USX- &4L 1, vz <br />rev*v')- <br />N b oLN- a� r-% V <br /><�, <br />-Sps <br />� t f'L� QJ Z <br />/1 n <br />4(Aol fn 0Vf,, <br />4 �m <br />0. 'rAi 1aJ !6'41'1--7 <br />1'\/ raV-1 <br />r r J <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($105). <br />Hourly rate will be $115 beginning August 1, 2009. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT NY TIME ATE D'S CURRENT HOURLY RATE. <br />EHD Ins pe <br />Received B <br />OV� <br />Title: <br />�i <br />,O a I v <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 06/25/09 CONTINUATION FORM <br />)17 <br />