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CONTINUATION FORM Page: 4 of 4, <br /> OFFICIAL INSPECTION REPORT Date: 3ji z�lO <br /> Facility Address: 5- lJ - "` Program: +fVA <br /> A l�Yla r <br /> SUM RY OF VIOLATIONS <br /> ( -Notice to Comply) <br /> e o <br /> 2-7 s SCC eta,,, <br /> -u , <br /> v� <br /> 1 is <br /> �oc� <br /> RA 14 <br /> a <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($115). <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY T14E AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: r n A_ Receiv B r } Title: h � I <br /> SAN JOAQUIN COUNTY E 0NMENTAL 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 11/25/09 CONTINUATION FORM <br />