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SANsJOAQUIN Environmental Health Department <br /> —COUNTY— <br /> ",.. n-i yr-, , <br /> Site Location: L a,✓ o . 7��rih SR#or WP#: <br /> City: Date: 27 21 <br /> V-0 -O✓ o S <br /> U <br /> Q <br /> ��N•• <br /> �V <br /> V <br /> cam`` <br /> mac . <br /> 7 <br /> � �On <br /> � <br /> I'Z <br /> l <br /> Ct <br /> N <br /> Q <br /> S <br /> 2 <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 20 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />