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CONTINUATION FORM Page: _ of <br /> OFFICIAL INSPECTION REPORT Date: <br /> Facility Address; 'L(Q( 'I g 7 Program: <br /> SUMMARY OF VIOLATIONS <br /> ' \ CLASS I,CLASS 11,or MINOR-Notice to Comply) <br /> N ►� <br /> a d AvAe <br /> old I I� 6 , ,1 <br /> sly a lei r <br /> Je a <br /> Afii, 1A hC "444 <br /> ' i5 13 <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: Receiv y: Title: <br /> Airz.ra er <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 /> EHD 23-02-003 <br /> REV 11/25/09 CONTINUATION FORM <br />