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ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY <br /> • ! Waste I x.re Surveyand Inspection Repo 304 E WEBER AVE 3RD FL <br /> STOCKTON CA 95202-2708 <br /> .ate of California (209) 4 68—342 0 <br /> ;IWMB-54(10/03) <br /> PART D -Notes y of <br /> File Number: Inspection Date: Page <br /> 3 v <br /> Business/ Facility Name: GPS Coordinates: <br /> a 4-4 a <br /> 5-— r2 Z <br /> -2,74'5 2 <br /> 4 <br /> � 5 <br /> r s i s -tom <br /> G <br /> Follow-up: <br /> ❑ ❑Letter of Violation Violation re-inspection ❑ Refer to CIWMB Date: <br /> Date Mailed: Date: <br /> ❑ Other Referrals <br /> ❑ If this box checked NFA required. ❑ No tires, remove. ❑ Out of business, remove. <br /> Inspector's Signature Phone: <br /> White Copy: CIWMB Yellow Copy: Operator Blue Copy: LEA <br />