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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: (b)z: <br /> Facility Address: �1 i` g — Aq Program: <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> qD lam <br /> A4-d <br /> r zL <br /> f/ <br /> V� LIT- <br /> IU n <br /> Lo <br /> tt u <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($105). <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT THE EHD'S CURRENT HOURLY RATE. <br /> EHD Inspe or Received y: Title: <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET, STOCKTON, CA 95202 <br /> EHD 23-02-003 Phone:(209)468-3420 Fax:(209)464-0138 Web w .sjgov.org/ehd <br /> REV 03/12//08 CONTINUATION FORM <br />