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(m SAN JOAQUIN Environmental Health Department <br /> -COUNTY- <br /> . / <br /> C, <br /> Site Location: 272,`T S n LO 10 SR# or WP#: <br /> City: n Date: <br /> I <br /> 714.01?j <br /> � N <br /> f <br /> 1 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />