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SANdOAQUIN Environmental Health Department <br /> COUN I Y_..__ <br /> Greakn'sa grow; hers. <br /> Site Location: T SR# or WP#: <br /> City: Date: <br /> U f <br /> `4 <br /> v <br /> Tr t" L <br /> I <br /> V <br /> N �f <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com + <br />