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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT A Date: l • tS • C; <br /> Facility Address: Program: <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II,or MINOR-Notice to Comply) <br /> 6A LS f ✓QO,e <br /> u G � ✓ �S� �� � -mac ; <br /> AA--tjs�- i1liCi <br /> l{ i�Y��`�1 '✓�-�G� 'LR'[ cc's <br /> �� G' 3 . i r v ivy <br /> 6✓ CA C <br /> rOW w <br /> --� <br /> �- ' Twh ftwkiik X— <br /> ri <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 REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Received 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 www.sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV 11/25/09 CONTINUATION FORM <br />