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/ V I (,2AN JOAQUIN COUNTY "VIRONMENTAL 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 23-02-003 <br />REV 09/12//08 <br />CONTINUATION FORM <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT— <br />Page: of <br />Date: �. d <br />Facility Address: <br />t y <br />Program: <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />ti <br />✓c <br />/1,,� <br />w w 3 <br />7. 16, , <br />ALL EHD STAFF TIME ASSOCIATED WITH <br />FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($105). <br />HI FACIL <br />Y IS BJECT O REINSPECTION NY TIME AT THE EHD'S CURRENT HOURLY RATE. <br />EHD I ec <br />Rec ed By: <br />Title: <br />/ V I (,2AN JOAQUIN COUNTY "VIRONMENTAL 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 23-02-003 <br />REV 09/12//08 <br />CONTINUATION FORM <br />