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CONTINUATION FORM Page: of IL <br /> OFFICIAL INSPECTION REPORT Date:4 26-/0 <br /> Facility Address: / Si Program: Zz <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I CLASS II, or MINOR-Notice to Compl ) <br /> hr7 <br /> ire) qmen-4� <br /> ca ls� <br /> +k..._ . <br /> 3 o . <br /> s <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 SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Ins ped 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 www.sigov.org/ehd <br /> EHD 23-02-003 <br /> REV 11/25/09 CONTINUATION FORM <br />