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CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: ZS--off <br /> Facility Address: Progra <br /> SUMMARY OF VIOLATIONS <br /> CLASS 1, CLASS II,or MINOR-Notice to Comply) <br /> � N <br /> f+C- 6 <br /> r� <br /> ce,.. Igczn1 rK, <br /> r <br /> N <br /> r <br /> o <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 /> THIS CILITY BJ CT TO REINSPE ,TION A T E AT THE EHD'S CURRENT HOURLY RATE. <br /> EHD Inspe r: e\e iv y: MTitle: <br /> ell SAN JOAQUIN COUNTY VIR NM TAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STRE CKTON, CA 95202 <br /> Phone:(209)468-3420 Fax:(209)464-0138 Web www.sjgov.org/ehd <br /> EHD 23-02-003 <br /> REV 09/12/108 CONTINUATION FORM <br />