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CONTINUATION FORM Page: of ? <br /> OFFICIAL INSPECTION REPORT Date: //ii <br /> Facility Address: G/ Program: <br /> �� >✓ nA <br /> SUMMARY OF VIOL TIONS <br /> CLASS I, CLASS II, or MINOR-Notice to Com I p <br /> 44 m ' c, G Y T•'l. <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 I sp otor: Received By: Title: <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET, STOCKTON, CA 95202 <br /> EHD 23-02-003 Phone:(209)468-3420 Fax: (209)464-0138 Web www.sjgov.org/ehd <br /> REV 11/25/09 <br /> CONTINUATION FORM <br />