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CONTINUATION FORM Page: _&of <br /> OFFICIAL INSPECTION REPORT Date: 3-1D-f0 <br /> Facility Address: ti tel" Program: IZZ.7,1 <br /> SUMMARY OF VIOLATIONS <br /> I CLASS I,CLASS II,or MINOR-Notice to Com I <br /> 3 � 4 <br /> -6- - <br /> O <br /> 3bA <br /> I s C"A14-�-5 <br /> T106 <br /> TL <br /> �r� w4il-cl d' <br /> ALL EMD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($105). <br /> THIS F I S SpWECT TO REINSPECTION AT ANY TIME AT THE EHD'S CURRENT HOURLY RATE. <br /> EHD Ins Received By: Title: <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTA DEPARTMENT <br /> 600 EAST MAIN STREET, STOCKTON, CA 95202 <br /> Phone:(209)468-3420 Fax:(209)464-0138 Web v .sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV 091121/08 CONTINUATION FORM <br />