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ENVIRONMENTAL HEALTH <br /> :A SAN JOAQUIN COUNTY <br /> Waste 'j,.,a Survey and Inspection Repor 304 E WEBER AVE 3"D FL <br /> STOCKTON CA 95202-2708 <br /> State of California <br /> CIWMB-54(10/03) (209) 468-3420----� <br /> PART D - Notes Pag21 <br /> File Number: Inspection Date: `� <br /> C.7 �6 v <br /> Business/ Facility Name: GPS Coordinates: <br /> -7 <br /> cc Li <br /> s <br /> i <br /> G <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 L L-11_ Phone: Gh_/2T—2_2f, ,6 <br /> White Copy: CIWMB Yellow Copy: Operator Blue Copy: LEA <br />