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SAN.JOAQUIN Environmental Health Department <br /> COUNTY- <br /> Site <br /> OUNTY-Site Location: /YO SR#or WP#: <br /> City: Date: Z <br /> 1 <br /> �O <br /> • v <br /> ElSof y��r <br /> 1,-A 26h <br /> �v <br /> 1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />