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ENVIRONMENTAL HEALTH <br /> ... Waste '1 ire Survey and Inspection Report SAN JOAQUIN COUNTY <br /> 'e of Califomia <br /> 304 E WEBER AVE 3RDFL <br /> .VMB-54(10/03) STOCKTON CA 95202-2708 <br /> (209) 468-3420 <br /> URT D-Notes <br /> :ile Number: Page 2of 2 <br /> Ins 91C ate* <br /> 3usoes /F cllity Name: 6 <br /> �I GPS oor inates: <br /> 2 <br /> 21 <br /> Yc�i <br /> � -4p <br /> r <br /> IAIA <br /> a <br /> e � <br /> iz <br /> � � S� r4->✓� SD <br /> ollow-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. <br /> ❑ Out of business, remove. <br /> ispector's Signature <br /> Q=--"CLGL— Phone: <br /> White Copy: CIWMB Yellow Copy. Operator Blue Copy: LEA <br />