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CONTINUATION FORM Page: a of <br /> OFFICIAL INSPECTION REPORT Date:—�t q4 /c-i <br /> Facility Address: , 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 /> Hourly rate will be$115 beginning August 1,2009. <br /> TH FAPILITY IS. U ECT TO REINSPECTION AT NY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Received By: AAM-'mv— <br /> Title: <br /> WAJO 6G2. 6''tl 4FI--19121 <br /> I �4:t� I -m I <br /> AN J AQUIN 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 />