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ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY <br /> Waste 'tire Survey and Inspection Report 304 E WEBER AVE 3RD FL <br /> STOCKTON CA 95202-2708 <br /> State of California (209) 468-3420 <br /> CIWMB-54(10/03) <br /> PART D - Notes Page—of -2— <br /> File <br /> File Number: Inspection Date: 6 L2-1 Vz <br /> Business/ Facility Name: GPS Coordinates: <br /> � <br /> � <br /> C—.::;11 C- > r Ge_� qi��5 _P_r— <br /> .0 /� C1 Le6s/ l <br /> n > > Srf'� rem / 1t� hc7 <br /> v1.1 �J r'w14g— <br /> L'i�1C, %S -/ �,. c,, �e ,�—t Cc'lvlrf��re�. •� �ri/T� <br /> lv.otir �S <br /> n <br /> i^ er <br /> c„ <br /> tn� <br /> LA"— <br /> r <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: �-Z`l 0 <br /> White Copy: CIWMB Yellow Copy: Operator Blue Copy: LEA <br />