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SANrJOAQUIN Environmental Health Department <br /> —COUNTY— <br /> �'eatness grows here. <br /> Site Location: SR#or WP#: <br /> City: Date: <br /> �G6� <br /> { C <br /> it <br /> 1� S <br /> 0 <br /> a i S I <br /> 140 i4d <br /> Kr It i r <br /> � r <br /> x � � <br /> �j 0 l l0 <br /> 0 <br /> ` 1 <br /> �o �u $0, <br /> 1 � � <br /> r <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sjcehd.com <br />