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CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: ) y17--,-qq <br />Facility Address: - C - <br />Program: Zz2O <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS 11, or MINOR -Notice to Comply) <br />rte - <br />r.— <br />vii D <br />V io <br />a <br />V A <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 $115 beginning August 1, 2009. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT END'S CURRENT HOURLY RATE. <br />EHD In sp or: <br />Received By <br />Title: <br />vC 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 06/25/09 <br />CONTINUATION FORM <br />