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CONTINUATION FORM Page: f <br /> OFFICIAL INSPECTION REPORT Date. <br /> Facility Address: Progra <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS 11,or MINOR-Notice to Comply) <br /> IA�2WaW Rem-,5 <br /> vi. <br /> eA <br /> G` 1 <br /> )ffaI4 :Z8 days CD1009, <br /> o . <br /> c <br /> RfACEAT e . 61 <br /> n C i <br /> v i <br /> n <br /> - <br /> 5��4 4;"�vc <br /> . <br /> Ir t <br /> ALL EHD STAFF TIME ASS0 IATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($105). <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TME AT TH URET HOURLY RATE. <br /> EHD Inspector: Receive Title: <br /> SAN JOA OUNTY NV N TAL HEALTH DE ARTMENT <br /> 600 EAST MA REET TOCKTON, 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//08 CONTINUATION FORM <br />