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SAGOAQUIN <br />—COUNTY— <br />G,eatnrss grows here. <br />Environmental Health Department <br />Site Location: <br />SR# or WP#: <br />City: { b N <br />Date: <br />"jOUr1, <br />q yiC) xto <br />1g''�e d-5 <br />7 <br />aVA <br />P �C9 <br />I ik <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />9 <br />