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QI %VXZS CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: 'j-22 -7 <br /> Facility Addre ` ( LA., qv Program: <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II, or MINOR-Notice to Comply) Awl Ga <br /> CAO�lk <br /> 111 b <br /> UI`n'1re,rAV VAk I I e,/ is laded omvdsd kn k <br /> w9 �' <br /> ► d� jtk 64k g*t itc w4 P <br /> 6411 <br /> sJle. U <br /> �✓ <br /> v1)1�1-rr� <br /> l N / <br /> u &U"kv 0 <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 /> THIS FAFNITY IS SUBJ T TO SPECTION AT ANY TIME AT THE EHD' URRENT HOURLY RATE. <br /> EHD Inspector: Re Title <br /> �- 2- .��s�adc lrOlts'/s <br /> SAN JOAQUIN PbUNTY ENTAL HEA TH DEPARTMENT <br /> 600 E AIN STREET, STOCKTON, CA 95202 <br /> Phone:(209)468-3420 Fax:(209)464-0138 Web www.sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV 09/12//08 CONTINUATION FORM <br />