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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: 3,,2, <br /> Facility Address: /L>! � / Program: <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I, CLASS II,or MINOR-Notice to Comply) <br /> S iv . <br /> AA A <br /> or .SGC t..- <br /> w �- <br /> a>1 <br /> k) P �- <br /> �� ol <br /> ., <br /> `epw-r <br /> k' w'dA 469) , <br /> k) <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 REINSPECT N AT ANY TIME TPHVS CURRENT HOURLY RATE. <br /> EHD Ins r: ceiv d 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.sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV 11/25/09 CONTINUATION FORM <br />