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CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of _.3L <br />Date: <br />Program: <br />Facility Address: <br />SUMMARY OF VIOLATIONS <br />(CLASS 1, CLASS 11, or MINOR -Notice to Comply) <br />I ainL�]= 31C -A, r4 m4a <br />116 <br />IF <br />62 Aw, L..Lk 5 eneev-nW <br />L— 01, <br />LLEHDEHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($105). <br />THIS f*ILITY IS SUBJECT TO REINSPECTIqNA*-VY TIM T <br />HD'S CURRENT HOURLY RATE. <br />EHD Insp <br />j <br />Title: &( <br />SAN JOAQUIN COUNTY Elt W4TAL IJEALTH DEPARTMENT <br />600 EAST MAIN ST T, STOCK CA 95202 <br />Phone: (209) 468-3420 Fax: (209) 464-01'38 Web www.sjgov.org/ehd <br />EHD 23-02-003 <br />REV 09/12//08 <br />CONTINUATION FORM <br />