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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: <br /> Facility Address: _ ,` Program: <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I, CLASS II,or MINOR-Notice to Comply) <br /> r r �� 0.. <br /> ''�-' 1► .r c- i �j l/ "214) ZZl� ">S <br /> n <br /> 4A 4 > <br /> u{r ;l 1 <br /> f 3 Z4;1'1;0'; <br /> =7 <br /> iivu'� or A PLT wr' 4 <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 FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Received By: Title: <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 www.sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV 11/25/09 CONTINUATION FORM <br />