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w � <br /> y � <br /> CONTINUATION FORM Page: 3 of <br /> OF ILIAL INSPECTION REPORT Date: !-5 of <br /> Fa ' ity Address: Program: <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II,or MINOR-Notice to Comply) <br /> /3' i yZG� G'2�7G'1r7• <br /> n <br /> Zo <br /> 60 <br /> N <br /> Qf <br /> - h <br /> 0=1 <br /> Zly, r ¢101 <br /> 7 <br /> bv <br /> / <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 REINSPECTION AMY TIME AT EHD'S CURRENT HO RLY RA E. <br /> EHD Ins pe Received ;7 Title: .C4z <br /> i <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 /> ri REV 11/25/09 CONTINUATION FORM <br />