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CONTINUATION FORM Page: of_ <br /> OFFICIAL INSPECTION REPORT Date: ) <br /> Facility Address: eyt�,/,� Program: <br /> SUMMARY OF VIOLATIONS <br /> r CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> tL) C4 I �L <br /> 5D -ffv✓ o�S fk 150 <br /> rh ( uk <br /> a 2. l-. s <br /> >�o�-� <br /> j.( v <br /> cM D 3 3 (� <br /> SUSc� <br /> 13 <br /> e� rn <br /> 3 (-s UAf <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 ISS REINSPECTION AT ANY TIME T EHD'S CURRENT HOURLY RATE. <br /> EHD 1 Received B Title: <br /> rx� <br /> SAN JOAQUIN COUNTY E I NMENTAL HEALT EPARTMENT <br /> 600 EAST MAIN EET,STOCKTON, CA 95202 <br /> Phone: (209)468-3420 Fax: (209)464-0138 Web W .sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV 11/25/09 CONTINUATION FORM <br />