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CONTINUATION FORM Va Page: of <br /> OFFICIAL INSPECTION REPORTDate: -P-td <br /> Fa ility Address -71S � � ��- Program: ltd <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II, or MINOR-Notice to Comply) <br /> e t 4A m,-&0AMbe <br /> C rda,441,MX oN AIJ j r N '(PCow1 <br /> (i 'IN ' w <br /> I ' Cel/ ge0 to ;A6 Ae ve4 <br /> Y I � OA) X71 <br /> C&40�" dNI- I A1 CIo,4;41CA4'JJiN G U x QG <br /> ` m Lt ' le <br /> 1t tre ? <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 TINJE AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Received By: Title: <br /> Z7 i <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 11/25/09 CONTINUATION FORM <br />