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09/29/2014 12:57 20982^' 683 MANTECA CRUISr--- PAGE 01/01 <br /> CONTlNUATiQN FORM _ page. Q,,/ of <br /> 0FFIC�LZ�SPEQTION__WOR�PORT <br /> Facility Address: � Date: j <br /> Program: _ <br /> SUMMARY-QF-VK)644t lyS <br /> CLASS I,CLASS If,or MINOR-Notice to ComI <br /> AJA <br /> J <br /> 1 <br /> I <br /> ;T r^ <br /> OCT <br /> DERARTMENT <br /> \. <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATER WILL BE BILLED AT TME CURRENT HOURLY RATE($115). <br /> THIS FACILITY IS SUBJI�CT TO REMPECTION AT ANY TIME AT EHCYS CURRENT HOURLY RATE. <br /> EHD Inspector: ; '`.- r n Received By: Tdle 7 <br /> ��c'7 ( •} <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET,STOCKTON, CA 95202 <br /> EHD 23.02.003 Phone:(208)468-3420 Fax:(209)464-0138 web www.s&v.orgiehd <br /> REV 11125:09 <br /> CONTINUATION FORM <br />