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CONTINUATION FORM Page: of <br /> OFFICIAL IN PECTI N REPORT Date: <br /> Facility Address: Q Program:jlW <br /> ,y SUMMARY OF VIOLATIONS <br /> lJi CLASS I, CLASS II,or MINOR-Notice to Comply) <br /> �e <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 /> L H <br /> 47� 1 &r� -V , 0, — 1 A� <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 />