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CONTINUATION FORM Page: of <br /> FICIA INSPECTION REPORT i Date: ) �. <br /> Facility Address: Program: <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS 11, or MINOR-Notice to Comply) <br /> w � <br /> sal v�-r <br /> r�JI a4 U a <br /> �oeelu <br /> kPl ce cel '4K_�� <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 /> Hourly rate will be$115 beginning August 1, 2009. <br /> THIS FACILIT SUBJECT TO REINSPECTION AT NY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Received By: Title: <br /> A?6/­ <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 06/25/09 CONTINUATION FORM <br />