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rGgG4 <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: 5 of C,:� <br />Date: GTl/ia <br />Faci ' y Address: 5 -7� <br />p <br />Program: 44t 1) <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />Al0l-r; e <br />P <br />� <br />2 <br />e A <br />07e Q/l CLODZ/47 <br />Zew L <br />D <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 JECT <br />TO REINSPECTION AT ANY TIME A EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: — <br />Received �y: <br />T t <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 />