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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: / <br /> Facility Address: r' Program: <br /> SUMMARY OF VIOLATIONS <br /> CLASS 1, CLASS II, or MINOR-Notice to Comply) <br /> L <br /> i <br /> �} 1 <br /> c. , <br /> ga <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($105). <br /> Hourly rate will be$115 beginning August 1,2009. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: ! _ Received 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.sjgov.org/ehd <br /> EHD23-02-003 <br /> REV 06/25/09 CONTINUATION FORM <br />