Laserfiche WebLink
CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: �--Of <br />Date: I <br />Facility Address: <br />SUMMARY OF VIOLATIONS <br />(CLASS 1, CLASS 11, or MINOR -Notice to Comply) <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOORLY RATE ($105). <br />Hourly rqte will be $115 beginning August 1, 2009., <br />P REINSPECTION AT ANY TIME AT EHD'S qUR,,RENT HOURLY RATE. <br />THIS FACILITY IS SUPJECTLT, <br />EHQ-In <br />Received By: Title: <br />/ GANJO�OU|NCOUNTyENV|RONK0ENTALHEALTHDEpARTMENT <br />^ ' 0O0EAST MAIN STREET, STOCKTON.CAA52O2 <br />Phone: (2O9)468-342UFax: (uO9)4D4-013aWeb wvww.sjgov.urg/exU <br />EHD 23-02m03 <br />REV 06/25/09 <br />CONTINUATION FORM <br />