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CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: / of O <br />Date: /07� <br />Facility Address: <br />1-0/a y <br />Program: <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />a`S 7 a�rZ?r <br />D <br />W-AV11V "17ALL <br />EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($105). <br />Hourly rate will be $115 beginning August 1, 2009. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />Received By: JA <br />I <br />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.s.igov.org/ehd <br />EHD 23-02-003 <br />REV 06/25/09 CONTINUATION FORM <br />