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CONTINUATION FORM Page: of_ <br /> OFFICIAL I SPECTION REPORT Date: A/ / <br /> Facility Address: � Program: <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II,or MINOR-Notice to Comply) <br /> .2s <br /> 411 <br /> r o o < ( a <br /> ' i IiU, r <br /> d- i - c� a tAJntf— <br /> b r I ''n A <br /> e� Ao r Va' sal <br /> �l 4 <br /> / s - <br /> 47 <br /> Gl <br /> v <br /> a w a-s <br /> v s s01 <br /> is b o <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 FACI IS BJECT T REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Received By: Title: <br /> P �tk\lAr I gone: <br /> A UIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET, STOCKTON, CA 95202 <br /> (209)468-3420 Fax:(209)464-0138 Web w .sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV 11/25/00 CONTINUATION FORM <br />