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CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: <br />Facility Address: ( r ; ,,'' <br />Program: <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR-Notice to Comply) <br />-t bokii 6 <br />1lrtj1.� <br />�� I•� .L' Tom. � � �-�ry ,, �1C=� <br />(� .,�1 <br />S - +kIo -e4,),h r <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 ($115). <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />Received By, \ <br />Title: <br />� � r <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 />