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• <br /> CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date:c>?•/Gj•/U <br /> Facility Address: Program: <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> -L �. <br /> �.S �� rer <br /> O—L 4- tk, c A-0— 6c� <br /> i � <br /> rT� I &r tk V G 4 al <br /> (A--f <br /> ALL 9HD 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 EHDI§,WRRENT H URLY RATE. <br /> EHD Inspe Rec ived By: T' <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 />