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May 19 14 11:14a Elit IV Contactors 12094 342P.1 <br />2535 WIGWAM DR. <br />STOCKTON, CA 95205 <br />PHN (209) 461-6337 <br />FAX (209) 461-6342 <br />ELITErV@SBCGLOBAL. NET <br />To.- Aris C. <br />Fax- (209) 468-3433 <br />Phone: (209) 468-3453 <br />Re: Required Form "C" <br />ENVIRONMENTAL HEALTH <br />From: Kimberly Wt -it . DEPARTMENT <br />Pages: 2 <br />Date: MAY 19,20'4 <br />cc: <br />X Urgent 0 For Review D Please Comment 0 Please Rep r 0 Please Recycle <br />Hi Aris, <br />To follow this cover page is the required Form "C" to close the b Ilow SR# <br />SR# 0069534 Countryside Liquors & Gas located at 149 1 N HWY 88, Lodi. <br />Kimberly White <br />Representative <br />Elite IV Contractors, Inc. <br />2535 Wigwam Dr. <br />Stockton, CA 95205 <br />Phn 209.461.6337 <br />Fax 209.461.6342 <br />eliteiv@sbcglobal.net <br />