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03/30/19 WALTER SHOUP 7200 E PELTIER ROAD, ACAMPO 1 1600 SRWTP <br /> Return by the 12th of each month to I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS <br /> TRUE & CO ECT. <br /> Environmental Health Division <br /> 1668 E. Hazelton Avenue <br /> Stockton, CA 95205 <br /> DATE: 4/12/19 <br />