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ENVIRONMENTAL HEALTH <br /> .,, Waste 1—.: Survey and Inspection Report SAN JOAQUIN COUNTY <br /> to of California <br /> 304 E WEBER AVE 3' FL <br /> VMB-54(10/03) STOCKTON CA 95202-2708 <br /> (209) 468-3420 <br /> SRT D -Notes <br /> :ile Number: Page of� <br /> Inspection e: <br /> 3usin ss/Facility Dame: El GPS Coordinates. <br /> -4- j <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'sSignature � -- LQL� Phone: ?jZ�(e _63 <br /> White Copy: CIWMB Yellow Copy. Operator Blue Copy: LEA <br />