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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: 2� f <br /> Facility Address: p-5- Lf- Program: <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II,or MINOR-Notice to Comply) <br /> vaV G <br /> o (7ti k <br /> ?0 ; I <br /> VIA IAA Ou,- a <br /> Gag <br /> r i (Jim 141 <br /> m mi l 0 i,'A S rn.finAs i ' �P IQs /00 Icc, CiOO 14 <br /> i rm� <br /> cv,2 J'16s�� <br /> � <br /> 157 <br /> --� <br /> T a <br /> \J TAP AA 0 ot C12 r fe ckni f!tz IIES <br /> 9L.e,r <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WIL BE BILLED AT THE CURRENT HOURLY RATE $115). <br /> THIS FACILITY IS SUBJECT TO REINS P TIO Y T E HD' CURRENT HOURLY RATE. <br /> EHD Inspector Titl <br /> iv y <br /> SJOAQUIN 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 />