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SAN rJOAQUIN Environmental Health Department <br /> COUNTY-- <br /> Site Location: SR#or WP#: <br /> City: t A, Date: _ <br /> � z <br /> r aN <br /> �Q a <br /> N <br /> 1868 E. Hazelton Avenue Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sjcehd.com <br />