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1p CONTINUATION FORM <br />Page: -of <br />OFFICIAL INSPECTION REPORT <br />Date: <br />Facility Address. <br />Program: <br />VP. <br />"IVA; <br />A <br />-fA 1--- J � <br />_j <br />t <br />A, L <br />0J, 4 <br />v-\ <br />-v <br />L , <br />441 <br />1v 7 <br />V Aj <br />r! <br />17 <br />A <br />t <br />U <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />E1HD Inspector: <br />@y: <br />Title: <br />.';AN.inAOI IIN rnt LNty FN\/iRnNAAr-NTAI HFAI TH nP:PAPTNAPNT- rno P AAA1NJ.qTPf=l=T qTr)(-WTr)NI (-A Qr,)n) 1000N ArP-')A)r) <br />