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SAN,JOAQUIN Environmental Health Department <br /> III —COUNTY— <br /> � Grrohxss yrcws he:e. <br /> Site Location: SR#or WP#: <br /> City: Date: <br /> U,r�d��r W cel Koa.Gf <br /> r <br /> �U <br /> ` kNK <br /> Go <br /> Ek <br /> J <br /> � S <br /> Z <br /> N <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />