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CONTINUATION FORM Page: --:;I_ of <br /> OFFICIAL INSPECTION REPORT Date: <br /> Facility Address: , ,(t ,a,, Program: Z <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> 15 r15 <br /> 42 ��` 6 <br /> 1p1 <br /> 1 S I J tom. �7 I— 4-o <br /> ►S s 5`T <br /> l �D Gil 7 ..�1� = <br /> 5� <br /> ,w.� t b� s i'V •-� v � t- - ... sir�C -f d <br /> LAI, <br /> at I � �- G1►5 < 5�5 as�� <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 /> THA FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspe 7 eceived By: Title: <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET, STOCKTON, CA 95202 <br /> Phone: (209)468-3420 Fax: (209)464-0138 Web www.sigov.org/ehd <br /> EHD 23-02-003 <br /> REV 11/25/09 CONTINUATION FORM <br />