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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: S 27l Q <br /> Facility Address: �f3 ( S S (, q� P/11.� C'��'►�I Progra <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II, or MINOR-Notice to Comply) <br /> CWY (fin GOAL <br /> p,U �2 V Y atr.1 Q C pr <br /> M� Dir o 1 v I <br /> p� S <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 REINSPECTIO ANY TIME Al EI-In CURRENT HOURLY RATE. <br /> EHD I ct r: Rec ved By: Title: <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTHEPA MENT <br /> 600 EAST MAIN STREET, STOCKTON, CA 95 <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 />