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CONTINUATION FORM Page: L of <br /> OFFICIAL INSPECTION REPORT Date: ) , <br /> Facility Address: --q2AZq <br /> I Program�-nZ <br /> N SUMMARY OF VIOLATIONS <br /> NAb { CLASS I, CLASS 11,or MINOR-Notice to Comply) <br /> � . ; IaW G11, G � ,� �� ' y <br /> ,q .rl Ill I`ve r „ - 5 Z 1� <br /> n � <br /> ' �� )21- <br /> �v <br /> 2 t f' (4 ,Lr <br /> j <br /> C / lM. r <br /> IIGtA <br /> 'I <br /> f <br /> 1 C vi <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 REINSPEE7TORF T ANY 11ME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspectoo Re �� Title: <br /> N i' <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 v .sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV 11/25/09 ' CONTINUATION FORM <br />