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► <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: 2 of <br />Date: -317- 7 /u -i <br />Program: �I <br />Facility Address: Z2 Z y -:n <br />c�� Gov c,ft� ✓� <br />Uj <br />�-ErIC12 I <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />JTC <br />J-2 <br />C t <br />11 , ... <br />>. <br />c Noei, <br />J <br />e- <br />2 -?U c9 _ <br />(U6TF <br />->/ <br />l �. < ✓ 1 vt L�ri <br />-e' ,L- 'G,' . <br />// JJ <br />Yl ' (c, 6A,fE <br />/ <br />d" <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($105). <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT THE EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />Received B <br />Title: <br />SAN JOAQUIN COUNTY-EN� TAL HEALTH DEPARTMENT <br />600 EAST MAIN T, STOCKTON, CA 95202 <br />Phone: (209) 468-3420 Fax: (209) 464-0138 Web www.sjgov.org/ehd <br />EHD 23-02-003 <br />REV 09/12//08 CONTINUATION FORM <br />