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ENVIRONMENTAL HEALTH <br /> A SAN JOAQUIN COUNTY <br /> Waste 'l ire Survey and Inspection Report 304 E WEBER AVE 3' FL <br /> STOCKTON CA 95202-2708 <br /> State of California <br /> CIWMB-54(10/03) (209) 468-3420 <br /> PART D - Notes Paget—of 7s- <br /> File Number: Inspection Date: a �� <br /> Business/ Facility Name: GPS Coordinates: <br /> s' z•} <br /> t 'i <br /> ez ACC I/ Ye_ 1am <br /> r <br /> Lam. <br /> Gl G• �R •� v.r� •� � 1 'S—� <br /> .� a 42S •�' <br /> ,1 s do roLive- I <br /> r1641Ce ', ' � � --O r✓ -� <br /> Follow-up: <br /> ❑ Letter of Violation ❑ Violation re-inspection ❑ Refer to CIWMB Date: <br /> Date Mailed: Date: <br /> ❑ Other Referrals <br /> ❑ If this box checked NFA required. ❑ No tires, remove. ❑ Out of business, remove. <br /> Inspector's Signature Phone: <br /> White Copy: CIWMB Yellow Copy: Operator Blue Copy: LEA <br /> hel C r✓t ` <br />