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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date:( Zg-cl <br /> Facility Address: Program: <br /> SUMMARY O <br /> CLASS I,CLASS II, MINOR-Notice to Com I <br /> o <br /> u y I 11 <br /> Z <br /> a <br /> 14L T:Ap 6-y <br /> r-, <br /> U <br /> , r <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE VOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($105). <br /> THIS FACILITY IS SUBJECT TO REINSPECT ON AT Alf TI THE EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector Receiv B Title 4 <br /> SAN JOAQUIN COUNTY ENVI N LTH DEPARTMENT DIY <br /> 600 EAST MAIN STREE , 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 CONTINUATION FORM <br />