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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Dater-{b-1 <br /> Facility Address: *WfyoProgram: <br /> SUMMARY OF VIOLATIONS <br /> CLASS 1, CLASS II,or MINOR-Notice//to Comply) <br /> v TV <br /> b� <br /> Nm�H Muj <br /> y AAR a&femek -rrvjvuN "Ask op- cmildm <br /> s <br /> 031 < <br /> n 3 _n <br /> ,cR k <br /> da'k ruvn i ceqgprv� l- <br /> A 1A <br /> f44 <br /> l <br /> f '�1 <br /> ♦ /y <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($105). <br /> Hourly rate will be$beginning August 1,2099' <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT AIAY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EH ctor: ived By: Title: tn^ <br /> #O , <br /> SAN JOAQUIN COUNTY ENVI ME TH DE RTMENT <br /> 600 EAST MAIN STREET,STOCKTA 95202 <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 />