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r--1 <br />i <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: S%%ems <br />Facility Address: Sr> <br />Program: <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR -Notice to Comply) <br />z �5�4-CA' <br />e—� i ne— <br />w �s'v✓ <br />e- LkA <br />1.-G l ej <br />r, �% <br />r `— <br />ALI- EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($115). <br />THACI TY IS UBJECT TO REINSPECTIO T ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Inspe r: <br />,,,,&r <br />Receivd y: <br />Title: <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 />