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CONTINUATION FORM Page: '-:5 of <br /> &Cdwmd0-L 0-4iOFFICIAL INSPECTION REPORT Date: c�-5/4//O <br /> Facility Address: IDD I-tOpct. Program: LCD <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> I <br /> �yjly,,v <br /> N�+ \ 1 -T►l.� <br /> S. `` <br /> Amt ` U` <br /> \� <br /> -)-u <br /> 04c�f An ef'icrfi <br /> FM—\(l d yl 2 I/ <br /> Ci Li 2- 60 ton 0 D q- <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 SUB CT TO REINSPECTION AT E T EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Received By: Title: <br /> SAN JOAQUIN COUNTY ENVIRONMENTHEALTH DEPARTMENT <br /> 600 EAST MAIN STREET, STOC TON, CA 95202 <br /> Phone:(209)468-3420 Fax: (209)464-0138 Web www.sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV 11/25/09 CONTINUATION FORM <br />