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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org/ehd/unitiii.html <br /> CONTINUATION FORM Page: of <br /> OFFICIA INSPECTION REPORT Date: 71 0, <br /> Facility Address: L Program: <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> 1 r ( fu Or <br /> -76 W <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($115). <br /> THIS FACILITY IS SUBJECT TO REINSP -- �N AT NY TIME AT END'S CURRENT HOURLY RATE. <br /> HD Inspector R iv y: Title: <br /> EHD 23-02-003 Rev 05/28/10 CONTINUATION FORM <br />