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CONTINUATION FORM Page: of� <br /> OFFICIAL INSPECTION REPORT Date:(42--7/I <br /> Facility Address: �-+ Program: sI- <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> s ` <br /> /o Vu&. ",/2,r� IS 12K�-�alV <br /> s 4yw� <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 SUT TO REINSPECTIO ANY TIME,&T EHD'S CURRENT HOURLY RATE. <br /> Eoi- <br /> HD Inspector: - Rec a Title: <br /> '�-- <br /> C7 <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 />