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CONTINUATION FORM <br /> OFFICIAL INSPECTION REPORT Page: -,:I- of <br /> Facility Address: 3 (( Date e!�. o <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II,orr MINOR-Notice to Comply) <br /> I� L <br /> it -F-)Lx nn F3� Gvi <br /> .;.e7 -e)'! <br /> Phd 8 L3 wt ✓•PCU i u._. oCq{t ! <br /> S k 44 n <br /> rY` (Q x- I <br /> LQa*fA, D a.� <br /> Curl S -fU.P f•c �,b� <br /> i s tri 6 —f L-t <br /> Q ✓ lel OnA <br /> �- �c viler- ► ']vo <br /> a � <br /> I� <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 /> Hourly rate will be$115 beginning August 1,2009. <br /> HISFjACIPTYIS UBJECT TO REINSPE ON 6T ANYTIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Ins Rece Title GL <br /> JOAQUIN COUNTY EN NMENTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET, STOCKTON, CA 95202 <br /> Phone:(209)468-3420 Fax:(209)464-0138 Web www.sjgov.org/ehd <br /> EHD 23-02003 <br /> REV 06125/09 CONTINUATION FORM <br />