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Aft <br />Ask <br />ONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: 2- of ,"Z - <br />Date: Q1 -2 -el Joel <br />Facility Address: i -3o (N jM S j A4 AW FF4A <br />Program: <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR -Notice to Comply) <br />YOM <br />OAt muieGov <br />cc.�-o <br />an Off( <br />d <br />d R.Q.d aM <br />a-Q'e� 6 0 <br />we r tit <br />�(kyM datd <br />v I <br />o� <br />9 Aj-]-A ✓ <br />feltIt"Id <br />3 0 8.� i <br />! <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 />Hourly rate will be $115 beginning August 1, 2009. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT Y TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: '^^ _ J A w <br />Recei <br />Title: <br />rim <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 />Y) <br />