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CONTINUATION FORM Page: _3_ of S <br /> OFFICIAL INSPECTION REPORT DateLr-Z,?-+o <br /> Facility Address: 9 N I„Ae-sProgram: <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II,or MINOR-Notice to Comply) <br /> 1\104rce, I <br /> A eJ ", A A <br /> l" bs <br /> el els- <br /> r» <br /> h S <br /> Co ' <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 /> T S FACT ITY IS SUBJECT TO REINSPECTION AT ANY TI HD'S CURRENT HOURLY RATE. <br /> EHD Ins ct Received By: Title: <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET, STOCKTON, CA 95202 <br /> Phone:(209)468-3420 Fax:(209)464-0138 Web w .sigov.org/ehd <br /> EHD 23-02-003 <br /> REV 11/25/09 CONTINUATION FORM <br />