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SAMAOUIN <br /> x COUNTY Environmental Health Department <br /> Greatness grows here. <br /> Site Location: SR#or WP#: _ <br /> City: Date: <br /> S <br /> v <br /> \ G <br /> SCO <br /> _n A <br /> n � <br /> 1 � <br /> t� <br /> 11 <br /> N <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />