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SAN JOAQUIN Environmental Health Department <br /> —c o u r\r Y----- <br /> Site Location: 3 g ;v ��, SR# or WP#: <br /> City: Date: Zy / <br /> 1!Yzj"ve <br /> lO <br /> v <br /> y <br /> N <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />