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SAWO0A0UIN Environmental Health Department <br /> 3 <br /> -"1f10-' -COUNTY- <br /> Site Location: 602 �!/. �, SR#or WP#: <br /> City: I Date: 0 <br /> raf—/ b�_ <br /> �i <br /> 30 <br /> Ive -D <br /> u�w j)00 ��IIU� <br /> I(A <br /> C <br /> N <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />