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CONTINUATION FORM Page: 3 ofZ <br /> OFFICIAL INSPECTION REPORT Datel--/S--/o <br /> Facility Address: ,--,— Program: ZZ1,1 <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS II,or MINOR-Notice to Comply) <br /> Q5 T— <br /> rti 4 r w I I g l r l.. �-t- <br /> J214 z w I 1 <br /> r ' <br /> ', G o t„i <br /> v� Gk n <br /> I., i 5 -tom <br /> ao, <br /> ellTti-� I� <br /> Com.-- �r •�,._ -�-�.- d��..-�- I� �. , <br /> I-l'o", -H, vlr� <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($115). <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ME LT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspect o Received By: Title: <br /> 0 <br /> 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 11/25/09 CONTINUATION FORM <br />