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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Avenue 3rd Floor Stockton •CA 95202-2708 <br /> c�. `F• (209)468-3420•Fmx:(209)464-0138• liveb:,vww.co.san-joaquin.ca.us/ehd <br /> �lFOR� <br /> REQUIREMENTS CHECKLIST COMMENTS <br /> SITE LOCATION: PA#: o` _o e, 16 3 <br /> REPORT DATE: <br /> Section Comments <br /> Reviewed By: _f��lL Reviewed Date: 7 <br /> EED 26-02-002 Page 2 of 2 <br /> 7/142003 Surface&Sub Checklist <br />