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CONTINUATION FORM Page: ' of <br /> OFFICIAL INSPECTION REPORT Date: 0: - <br /> Facility Address: roQ Program: <br /> j <br /> Y 1 <br /> V S t'Y►'I Uk, WWY160eI <br /> oti kA <br /> ALL 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 btf++ beginning August 1,2009. <br /> ✓ ZD tU <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Receive y: / Title: - <br /> SAN J QUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> -R�tZLI-tt 11 U��I6E�7, STOCKTON, CA.96z' CLC,`Zt_5 <br /> Phone:(209)468-3420 Fax: (209)464-0138 Web www.sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV 06/25/09 CONTINUATION FORM <br />