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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: QZ Z <br /> Facility Address: S Program: <br /> T = + <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS 11,or MINOR-Notice to Comply) <br /> C' <br /> s <br /> o>� <br /> G BkD <br /> s D 32 [01 , <br /> _ V, <br /> n r C d- 4An+- mi �-i - , <br /> INus 4- 4r <br /> a64ft o C,ivl fed <br /> ALL EHD STAFF TIME 4SOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL 13E BILLED ATT E CURRENT HOURLY RATE($115). <br /> a s � coredN bne, mw �� h 9L G7-ft iN 0--�,-)-Lho , <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT HD'S CUR ENT HOURLY RATE. <br /> EH=:4,6 Received By: Title: <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STOET, 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 />