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CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: <br />�►� () <br />Facility Address: - al �N ON Program: /,{ <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />Cl CA 6 c NN <br />G <br />Pit <br />T- I <br />I x <br />I <br />a 11� <br />X GLS 4JI'l tik h P�4 S 1,3' <br />uILDlk <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 />I-Imiriv rate will be $115 be inning August 1, 2009. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EI Inspector: „• <br />Received By: <br />Title: <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />600 EAST MAIN STREET, STOCKTON, CA 95202 <br />EHD 23-02-003 Phone: (209) 468-3420 Fax: (209) 464-0138 Web www.sjgov.org/ehd <br />REV 06/25/09 CONTINUATION FORM <br />