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SAN,JOUN <br /> —COUNTY— Environmental Health Department <br /> s��� G,.•atn•ss gr:,ai F.e:" <br /> Site Location: l 4,, SR#or WP#: <br /> City: Date: &/s//9 <br /> r <br /> ��✓sv <br /> V <br /> C' <br /> C3 OID"(»wK D�Sh�.ye�.Q <br /> D <br /> ,Q O �'',o� ��rt C T•nw� <br /> N <br /> 1868 E. Hazelton Avenue Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />