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► CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: ' Y/o j <br /> Facility Address: w(-1 t SCJ' j ��� /' �� Program:" "26 <br /> �j�r C)�/C <br /> SUMMARY OF VIOLATIONS <br /> (� CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> Zig Gt7'V- L/ =t i l nl U i i /r)&1 + !d r/6- <br /> " ^ rA 1'77 <br /> i <br /> 00 Vv �D i� �� r- e- <br /> CVN <br /> e s L•,i - .s <br /> I <br /> ALL EHD STAFF TIME ASSOCI_AT�p WJH FAQ L`vjs IT( COMPLY BY THE ABOVE NOTEDID ES WILL�E BILLED AT THE CURRENT HOURLY RATE($105). <br /> THIS FACILITY IS SUBJECffO R JN PECTION AT ANY TI,ME'A - 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 /> EHD 23-02-003 <br /> REV 09/12//08 CONTINUATION FORM <br />