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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date:, llz_ io <br /> Facility Address: ,;,� Program: <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> yah' GGj/� G� v� rCJLt-X- <br /> VSO ✓L <br /> r <br /> 35 ��1� 1 r• a_s �� � � <br /> S�G Gr. Wa.S G(n� <br /> ''r. oz.s D ►! ' b-- <br /> b aJf� <br /> A— —/ <br /> S <br /> �T? 33, 33 S. <br /> A$, <br /> ,. <br /> i Anew <br /> ' w <br /> ALL EH�AFF TIME ASSOcfATE WITH FAILING TOCOMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HO RLY RATE($115). <br /> TH A ITY I BJECT TOz <br /> AT IME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspe r: By: o Tim,✓!� ,/� <br /> SAN JOAQUINMENTAL HEALTH DEPARTMENT <br /> 600ET, 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 />