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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date:S 22 C <br /> Facility Address: (,�S ��, Program: <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> 2? <br /> S r <br /> b <br /> ek,� <br /> 5 5 S ee(, s <br /> w r - <br /> s D ` <br /> vo <br /> l� (" (o <br /> S v-I <br /> 2z m <br /> FOS (�J <br /> �ALLD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($'I <br /> TH S FAC IL S BJECT TO REINSPECTION AT ANY TIME AT THE EHD'S CURRENT HOURLY RATE. <br /> —EH--D Inspecr: Received By: Title: <br /> J 0 SAN OAQUIN COUNTY ENVIRO MENTAL 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 09/12//08 CONTINUATION FORM <br />