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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT _ Date: 2 p <br /> Facility Address: �-f/� Program: <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> fileG! a 13rcoe— <br /> Wz <br /> lo L 5173.U <br /> �.c ✓ef' 2 i b w 3JAk <br /> W 001dS <br /> Q (o (o Z, v <br /> Lk <br /> , '4 <br /> tort - 3 .d <br /> W <br /> � s w � 3 .2� •� r� <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($105). <br /> THIS FACILITY ISS BJECT TO REINSPECTION AT ANY TIME A,,nHE E 'S CURRENT HOURLY RATE. <br /> EHD Ins ec r Received By: 767 Title: <br /> c=..J/✓C",� <br /> 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 03/12//08 CONTINUATION FORM <br />