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CONTINUATION FORM Page: _of <br /> OFFICIAL INSPECTION REPORT Date: 9 •a4 �p )L� <br /> Facility Address: 0Program: <br /> SUMMARY S <br /> CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> W w <br /> ru i W 114L 14 , QWEd <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 /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT HD'S CURRENT HOURLY RATE. <br /> EHD Inspector: ^ Received By: Title: �e C <br /> -n'-;LG4('d, V� �'j <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 11/25/09 CONTINUATION FORM <br />