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Alif�F�i _M;]i• UM. M''W. Main it, Ripon Q W4 Below) ATS SA,-RTED: arch ::1. 199.0 <br /> Ll'LLCEY_U '(: u4i! ' i hf 1111E 'u�fiL(LIED: %Sr: 2v- 1 F4f� <br /> COLLECTED:��- 4,j r.._4 22iiG(j - .. L�ni RE'?ORTEE; Hsi±_+ .Ci, li�iii <br /> DATE OL; <br /> CLT I , r_r tie. PURCPAEE ORDER: `Done <br /> ESI d k "5 Ir. ,a___n <br /> STREET: P,O. ; 'y`�t GFW 4: _00804 <br /> CITY! Giron 'COY TT An Joaquin Count:, <br /> STATE: CA ZIP: 95366 <br /> ATT;: Paul Jr. ~ <br /> EDD (02gi bromm ane) <br /> =_ui'T Det, Li <br /> ait <br /> Lab 13. SmAe M, <br /> --------- <br /> L804-1 1000 0 N # 'tiro to <br /> DG»-? 1500 Urth No 10 <br /> LOI}S=.', 1000 Eouth It: <br /> Sout', <br /> ID =' ?at retattiaj <br /> RECEIVE101 <br /> `1. MAY 15 1909 <br /> ENVIRONMENTAL HEALTH <br /> i <br /> PERMIT/SERVICES <br /> Laboratory Director <br /> File: C ,IND <br />