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04 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Avenue 3`'Floor Stockton • CA 95202-2708 <br /> (209)468-3420 • Fax:(209)464-0138 • Web.www.co.san-joaquin.ca.us/ehd <br /> 94Fp6N <br /> REQUIREMENTS CHECKLIST <br /> COMMENTS <br /> SITE LOCATION: 3y�D/ !/Yc�% /I�'�LY REPORT DATE �'�� <br /> Section Comments 7 �I <br /> of <br /> e 5 `le ns7�fu,� Wi /�lYz/rt <br /> `�� 4S•f ren tLu pEt o.�� <br /> Nn�E � �� �/' ,a�cE�' ✓�rwi <br /> G Kr✓\ .7i a���' <br /> L / 19"" L VOGw <br /> Ub _ Vdro <br /> EHD 26-01 Page 2 of 2 Surface&Sub Checklist <br /> 7/14/2003 <br />