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ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY <br /> Waste i ire Survey and Inspection Report 304 E WEBER AVE 3P'D FL <br /> STOCKTON CA 95202-2708 <br /> State of California <br /> CIWMB-54(10/03) <br /> (209) 468-3420 <br /> PART D - Notes Page Zof <br /> File Number: Inspection Date: 6h,5/04 <br /> Business/ Facity Name: GPS Coordinates: <br /> c.g c rp <br /> m <br /> (, 'S v e— s <br /> 1 4f <br /> 12`)35 " -� <br /> --------------- <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: "/b6 02�� <br /> White Copy: CIWMB Yellow Copy: Operator Blue Copy: LEA <br />