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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: Z-15-/p <br /> Facility Address: -1 Program: Z Imo <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Com I <br /> II F <br /> �l i•s 'I rw.� hal I,,.n.• " <br /> G 4I VXfOi <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 ACILITY IS UBJECT TO REINSPECTION AT 4 TI AT HD'S CURRENT HOURLY RATE. <br /> EHD Inspecto Received By: Ti <br /> a <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 />