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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: //- 13,07 <br /> 4 <br /> Facility Address: S, Program: <br /> SUMMARY OF VIOLATfOM���-) <br /> (CLASS I, CLASS II, or MINOR(Iotice to Comply) <br /> I s <br /> b <br /> _ Gdn <br /> uk w ?b �- <br /> 1(0 0 <br /> �2 <br /> � ao <br /> G�rN�(S `` k s coa r " S S <br /> �c <br /> � he <br /> ALL EHD STAFF TIME ASSOCIATED W TH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT 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 Inspect — 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 06/25/09 CONTINUATION FORM <br />