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ENVIRONMENTAL, HEALTH <br /> " SAN JOAQUIN COUNTY <br /> Waste ire Survey and Inspection Repo, t 304 E WEBER AVE 3RD FL <br /> STOCKTON CA 95202-2708 <br /> State of California <br /> CIWMB-54(10/03) (209) 468-3420 <br /> PART D - Notes Page—2—of 2r <br /> File Number: Inspection Date: <br /> Business/ Facility Name: GPS Coordinates: <br /> 1 -2 <br /> ! r <br /> kevil­ <br /> M 2267 5`5 <br /> ti�•i E- <br /> v�4 F <br /> I'9 S - /7,7 / 4-Z,7,a <br /> M 6 —1©o -7 <br /> 412 <br /> 6 <br /> L <br /> Follow-up: <br /> ❑ Letter of Violation ❑ Violation re-inspection ❑ Refer to CIWMB Date: <br /> Date Mailed: Date: <br /> ❑ Other Referrals <br /> ❑ If this box checked NFA required. ❑ No tires, remove. ❑ Out of business, remove. <br /> Inspector's Signature / >� Phone: `T6 _21 UL <br /> White Copy: CIWMB Yellow Copy: Operator Blue Copy: LEA <br />