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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: P -3d-I'd <br /> Facility Address: Program: <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> - J a��c✓�-r� <br /> g -�-t�n/ ntit,� ► oUed 4-ab sS ✓ <br /> r <br /> s � I s Z �� ti(rl•� <br /> eve {'�✓ � � ��� <br /> IgAltu- 'k &-t �� <br /> (h4 S <br /> 4 <br /> A PwAA��-_k-� <br /> r <br /> i 6 <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE <br /> THIS FACILITY IS SUBJECT TO REINSPECTI N AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Ins r: e ived By: Title: <br /> l,vlIct tit. <br /> SAN JOAQUIN COUNTY INVIRONMENTAL 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 />