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SAN JOAQUIN COUNTY E IR NTAL ALTH PARTMENT <br />600 EAST MAIN RESOT, TOCKT , CA 95202 <br />Phone: (209) 468-3420 Fax: (209) 4 4-0138 Web www.sjgov.org/ehd <br />EHD 23-02-003 <br />REV 11/25/09 CONTINUATION FORM <br />CONTINUATION FORM - <br />OFFICIAL INSPECTION REPORT <br />Page:of <br />Date: 4 25 /d <br />Facility Address: `j� <br />Program: <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR -Notice to Comply) <br />23 l�u� <br />zee <br />Ag <br />Q <br />� <br />Z;Z0 <br />4-1 <br />7 2 <br />L21-16 lax&ja <br />DZX7 <br />--K <br />�b <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 />9 <br />THIS FACILITY UBJECT TO REINSPECTION AT A ATE S CURRENT HOURLY RATE. <br />EHD InspectoR � <br />— <br />I /Z Received By' ],,Z. <br />Title: 1- � <br />SAN JOAQUIN COUNTY E IR NTAL ALTH PARTMENT <br />600 EAST MAIN RESOT, TOCKT , CA 95202 <br />Phone: (209) 468-3420 Fax: (209) 4 4-0138 Web www.sjgov.org/ehd <br />EHD 23-02-003 <br />REV 11/25/09 CONTINUATION FORM <br />