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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date:(Z-7-cxt <br /> Facility Address: ah.JProgram:Z -,� <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II, or MINOR-Notice to Comply) <br /> v <br /> c 1 ,54� <br /> vj K ;44, <br /> so-b <br /> Q Ie. L <br /> ed L <br /> i <br /> a <br /> / /r GX 140 <br /> � l k <br /> vio F1,. — /O (z ZO <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTEb DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($105). <br /> THIS F,APILITY IS SUBJECT TO REINSPECTION AlANY TIM AT THE EHD'S CURRENT HOURLY RATE. <br /> EHD Inspecto Receive B Title: <br /> AN JOAQUIN COUNTY VIRONMENTAL HEALTH DEPARTMENT <br /> 600 EAST MA STREET, STOCKTON, CA 95202 <br /> Phone:(209)468- 20 Fax:(209)464-0138 Web W .sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV 09/12//08 CONTINUATION FORM <br />