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CONTINUATION FORM i� Page: 1- off�_ <br />OFFICIAL INSPECTION REPORT Date: 0-4-e)f <br />Facility Address: N- i CA Progra"m kW <br />SUMMARY OF VIOLATIONS <br />(CLASS 1, CLASS 11, or, MINOR -Notice to Compl <br />R IW. Ir.0 W, -, w-, 1 a 2ffi�w' v <br />w& <br />I] <br />WE <br />vi <br />u <br />j <br />10"01FINA-19, MANOR <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE OV110T3AT <br />"ILL BE BILLED AT THE CURRENT HOURLY RATE ($105). <br />THIS FACILITY IS SUBJECT TO REINSPECTION E AT THE EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: Re <br />Aof,�? ! le: -MZ <br />IV <br />SAN JOAQUIN COUNTY R ENTAL HEALTH DEPARTMENT <br />600 EAST MAIN R T, STOCKTON, CA 95202 <br />Phone: (209) 468-34 (209) 464-0138 Web www.sjgov.org/ehd <br />EHD 23-02-003 <br />RFV n3/12//08 CONTINUATION FORM <br />