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y_ STANISLAUS COUNTY ENVIRONMENTAL RESOURCES <br /> SERVICE REQUEST & COMPLAINT FORM No. <br /> 3d <br /> ddress - City, �L'. <br /> atne 1 ' - hi e, Date Received 7_ 1G' CF3 <br /> Guested By Confidential ❑ _Phone: - <br /> :dress&Location <br /> ature of Request or Complaint ❑ '� <br /> CTION TAKEN <br /> AjI <br /> i <br /> 1 <br /> T rr <br /> a <br /> ending ❑ Recheck D �'.° �� Closed .-- ----------------- R.S. <br /> EH FORM 26 4020-7L ADM-31 <br /> } <br /> DEC 2 0 1985 <br /> ENVIROMENTAL HEALTH <br /> PERMIT/SERVICES <br /> I� <br />