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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: [h�3-pll <br /> Facility Address: ; Program: (1kJ <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> I d <br /> wv& <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE(9105). <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT THE EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector:imuReceived 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 W .sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV C9/12//08 CONTINUATION FORM <br />