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SAN JOAQUIN LOCAL HEALTH DISTRICT <br />1601 E. Hazelton Ave. -Phone: 466-6781 <br />P.O. Box 2009 Stockton, Ca. 95201 <br />❑ <br />Approved <br />Appro.•cd with o.anmes: See Remarks <br />❑ Disap_ r oved ; SSee <br />Remvrks <br />ti,: t hoon not �,:o_ize or a,,.;;e <br />any omission. or u�,nution o: req,;,r,C,_ <br />menta of State laws or local Ordinances. <br />2� 40M tr ALKMV_ m K �2� Yq tu),,�o yu�iu�Cr9AYoF-�� ��r�`u�nrrr�- <br />Forc ��r � �cdustc5 �hravr��`l cAz-,�a� TOM< Rowe Rf4n,, bjrx�rrAo <br />Toy( w�i�f �o bi4Y5 car 7—rKv, aka - <br />3� buce *tc ltll' �b 4T ��t- yes tl k5, t14 A-6V11WC.tT�F <br />