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CONTINUATION FORM Page: l of c <br /> It /421V6 OFFICIAL INSPECTION REPORT _ Date: <br /> Facility Address: Program: <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Com I <br /> i7 r� / <br /> r / o ash Qom/ ��1� <br /> 0.. <br /> /, <br /> --I' Gz/7 <br /> ,e l' 077 <br /> / <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: R ce ped 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 />