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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: <br /> Facility Address: Program: 2 <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II, or MINOR-Notice to Comply) <br /> Y,�^Q. �l ryr,I <br /> -T� rn fir- 5 <br /> f), a l- <br /> e-� i r- <br /> Ec, r , <. v Qv <br /> V Fe-5 <br /> 1 � <br /> o r-- cesce, r� <br /> GTt'ti-fir. G,�'r i 1ov—, U)0A 1/b, <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIM AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Received By: l 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 />