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CONTINUATION FORM Page: L of <br /> OFFICIAL INSPECTION REPORT Date: <br /> Facility Address: CYW V q L Program: 230 <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II,or MINOR-Notice to Comply) <br /> i <br /> , <br /> rAn <br /> C.n s <br /> tr <br /> Ips i <br /> T � F <br /> Vve <br /> i !f s - n - <br /> 6 - V 0 <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL 9E BILLED A THE CURRENT HOURLY RATE($105). <br /> Hourly rate will be$115 beginning August 1,2009. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: , f�J Received By: 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 00/25/09 CONTINUATION FORM <br />