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{ <br /> CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: , <br /> Facility Address: <br /> Progr am• <br /> SUMMARY-OF VIOLATIONS <br /> CLASS I,CLASS 11,or MINOR-Notice to Comply) i <br /> -<� 4 � � .� ! Wil.. 14.•. _*E. `.[1 !fi i� �""[��„ �.!r-G7.j. �` 3L yt f � !J'� .4"' `a.. <br /> E V <br /> f'J <br /> ns 0 <br /> IAJ/1 �'� f ��1`,. - .'V I �<✓�'�`4�'� ,n:. <br /> ia <br /> iryiie,4t .: �e <br /> h � I <br /> r'rK/•-L I <br /> { <br /> efl � j:l ��. ' Q <br /> Aj <br /> id <br /> +" -,`�S f=`�t ) .-i L��'L'�r w �i.� �•�j^,rel.°'°�^'I �'��E { �''ae���` -� <br /> ! <br /> )CEJ ' .g'✓ /} <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 /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT THE EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: , f , f Received By: Title: <br /> • s _ <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 091121108 CONTINUATION FORM <br />