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r� na'.�^^1nx GF1,yQ.rn: ps: t'JA's �.ww'ht '�' ..�..^.rM ^itt^ T"if41 <br />-r nAr,�pNAt'�±�n.w� 'T nl"'.bFY, n, �. _',y, :'a r�wi�-:. � <br />r - <br />a <br />CONTINUATION FORM <br />OFFICIAL INSPECTION REPORT <br />Page: of <br />Date: <br />Facility Address: <br />Program: <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <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 />HqkIK rate will be $115 beginLi'ng.44ftstj %W9. <br />THIS FACILITY I REINSPECTION AT ANY TIME AT E R <br />T HOURLY RATE. <br />EHD Inspector: <br />Received By: <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 06/25/09 CONTINUATION FORM <br />