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CONTINUATION FORM Page: _-o <br /> f <br /> OFFICIAL INSPECTION REPORT Date: <br /> Facility Address: ( , q -9" Program: ldyv <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> I l <br /> daqzc cfN i 1 <br /> Q' bec a c rr v e vwwl� <br /> k60 wAA) nIe: �W 7HL40L,1 <br /> Y4vilj 4 e4e' <br /> cat" v)�(AII�N '� <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 InspeGor: Received By: \ Title: <br /> SAN JOAQUIN COUNTY ENVI NMENTA ALTH DEPARTMENT <br /> 600 EAST MAIN STREET, STOCKTON, CA 95202 <br /> Phone:(209)468-3420 Fax: (209)464-0138 Web w .sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV 09/12//09 CONTINUATION FORM <br />