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CONTINUATION FORM <br />OFFICIAL INSPECTION REPORTDate: <br />Facility Address:,._ <br />Page: o <br />2e/O <br />Program: <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR -Notice to Comply) <br />D P41 <br />rW <br />o V <br />2X0 SD <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED <br />AT THE CURRENT HOURLY RATE ($115). <br />THIS FACILITY tS BJECT TO REINSPECTION AT N IM <br />CU ENT HOURLY RATE. <br />EHD Inspector <br />Received <br />Title: <br />Oi) P/ <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/elid <br />EHD 23-02-003 <br />REV 11/25/09 CONTINUATION FORM <br />