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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E . Hazelton Ave . - Phone : 466 - 6761 <br /> P . O . Boa 2009 Stockton . Ca . 95201 <br /> [] Approved <br /> Approved with chonoes : Se . Remarks <br /> Disapproved ; SZe Ra:.:arks <br /> Remarks <br /> Date <br /> A^prova es s o ; .- ; to <br /> that w_. " _ _.. eho ._ ..re- <br /> on but does rot <br /> any omission or deviation of ' .. - <br /> ments of State lams or local Ordinan„ <br /> t) CCS X5 5_ Dr�Y rci�/lf b /, *CCOM* OF, <br /> k%fXt(9vW6 7`a4rt��4 <br /> H-U) �tAfiiiS � <br /> }) � C) CW 71ZIF 41UY � ur, ; r�ou� 7aYQKr/,4 <br /> �o 6&( - zrcgfoJ�Kr �a �zaoi c <br /> aGttctNO �`� 4� ISO CA <br /> — I �9Z� r-rocC.- �14�l�lCG�C�c� Ftzor� GCS `�' <br /> i� 0(� 1 �l � � Crntt� o�ra(`3 rA <br /> aI t c �� C�� -Tr go.�)OCYT(0/f# 45ocoCo,�Lmc aao& soz�14F7w , acs© I- tt�7S< <br /> T:�OzZ I_'G5 r f7 i <br />