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_J, SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Avenue 3dFloor Stockton- CA 95202-2708 <br /> 4 r (209)468-3420•Fax:(209)464-0138 • Web:'www.co.san-joaquin.ca.uS/ehd <br /> 's"`- ""✓[ REQUIREMENTS CHECKLIST COMMENTS <br /> I� <br /> I - <br /> SITE LOCATION: I� PA#: <br /> IN REPORT DATE: <br /> . IM <br /> Section Comments IN <br /> I� <br /> P. <br /> i <br /> I� <br /> II <br /> I: <br /> I� <br /> I� <br /> l <br /> Ili <br /> I� <br /> I <br /> I` <br /> III <br /> I� <br /> Ir <br /> II <br /> II <br /> I� <br /> I� <br /> li <br /> it <br /> �I <br /> EHD 26.02-003 Page 3 of <br /> 7114/2003 I <br /> I <br />