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CONTINUATION FORM Page: of <br /> OFFICIALINSPECTION REPORT Date: , / <br /> Facility Address: QQ/�/ Q /— Program: 1y f7 <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> L'0�7flrtu2 <br /> D x <br /> x i <br /> S 0 <br /> s <br /> Bn a� <br /> i <br /> rea <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 §yqLJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Received By: Title: <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 W .sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV 11/25/09 CONTINUATION FORM <br />