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CONTINUATION FORM <br />-OFFICIAL INSPECTION REPORT <br />Page: ',3 of <br />Date: <br />Facility Address: S r;�/ <br />Program: <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />C <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 />THIS F ILITY IS SU JECT TO REINSPECTION AT ANY TIME AT THE EHD'S CURRENT HOURLY RATE. <br />EHD Inspector <br />a ei ed B <br />Title: <br />L <br />'7r -vv- U Y SAN JOAQUIN COUN[TY-F-NVIRONN15W`AL 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 09/12//08 <br />CONTINUATION FORM <br />