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SAN )QAQUIN Environmental Health Department <br /> COUNTY-- <br /> 4C,r e; <br /> Site Location: ,S /- SR# or WP#: <br /> �— - City: A" 57-ac* n Date: <br /> c <br /> C" <br /> o <br /> � W <br /> � r <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjcelid.com <br />