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SAN3,JOAQUIN Environmental Health Department <br /> -COUNTY- <br /> Site Location: yJ , SR#or WP#: <br /> City: Date: Z <br /> v <br /> H <br /> .L <br /> 0 <br /> �vf� <br /> f <br /> 3 ` <br /> Q <br /> xv <br /> N <br /> 1868 E. Hazelton Avenue Stockton, California 952051 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />