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r1 <br /> CONTINUATION FORM Page: -?:!of <br /> OFFICIAL INSPECTION REPORT Date: I�_I <br /> Facility Address: Ln S Program: <br /> SUMMARY OF VIOLATIONS <br /> CLASS I CLASS II,or MINOR•Notice to Com I <br /> 04r, 4�16924� <br /> ,-. Wri i w o <br /> Q� 22 0 6 Z D9 <br /> !J� Z2- O e. <br /> 4w, -4s- <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE <br /> THIS FACILITI B CT TO REINSPECTION AT ANY TIME AT THE EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: d By: TRIe: <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 .sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV D9/12I08 CONTINUATION FORM <br />