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CONTINUATION FORM I Page: _ of_ <br /> OFFICIAL INSPECTION REPORT _ i Date: <br /> Facility Address: - Program: <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II, or MINOR-Notice to Compl ) <br /> " <br /> .. I✓tet I _ <br /> I 11 --✓ <br /> `T-41,- <br /> 7, - n1 <br /> e4v <br /> �E R <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($105). <br /> Hourly rate will be$195 beginning August 1,2009. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: r Received,By: � �' i � 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.sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV 06/25/09 CONTINUATION FORM <br />