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SAN.-0JOAQUIN <br />---COUNTY----- <br />C eomesi gn- „ here <br />Errvirorrmerital Health Department <br />Site Location: <br />LL[ i <br />SR# or WP#: <br />City: <br />r4 LAM P d , G4 <br />Date: <br />7I1(o <br />-( I �1 (,,j r!i A'1V 1G %�+✓ �l L ICA- a !� -t'b F3 = D�ryv10 <br />-(-� I S't "i (- r') OLL <br />4-RP6 X a --V o e—+ <br />-F?) N=-zJ tjOW 34--'r(e— <br />Sb ` <br />-7-s / <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />