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i <br /> SANxJOAQUIN Environmental Health Department <br /> -- <br /> COUNTY--- <br /> Site <br /> OUNTY--Site Location: 6S Ja/rte SR#or WP#: <br /> City: Date: <br /> `I <br /> y0' LL <br /> w� <br /> se- <br /> v <br /> nn►';e <br /> N <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />