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CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of � <br />Date: <br />Facility Address: ?'�q''�' <br />Program: <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />h <br />,A.- 1 aa, <br />Ill t' O 4�1'�iv� <br />Gfn Of �� <br />c, &N <br />a c <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 />HIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT END'S CURRENT HOURLY RATE. <br />EHD sp <br />Received By: <br />Titie: <br />SAN JOAQUIN COUNTY ENVIR�L 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 />