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CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of -a- <br />Date: 1 -t -7A -lo <br />Facility Address: 3otto 12o, o /�-- c' <br />ProgramZz <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />�L <br />r 1��.-��-� 4, 114 Ow -�- 5` .� <br />J i4 <br />a -i ivy 6 <br />a. <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 T4pE 5 EHD'S CURRENT HOURLY RATE. <br />EHD Inspecto <br />Rece' ed <br />Titl <br />SAN JOAQUIN COUNTY LONMENTAL 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 />