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T SAN.-JOAQUIN Environmental Health Department <br />.dI.,` —COUNTY— p <br />Site Location: 7 8 3 r,Q f -v SR# or WP#: <br />City: Date: <br />L90 V-edrcom <br />M�lulu�- l-- <br />) 3 x Vis' a0© <br />A�R�Ew�Y <br />oo �- <br />X <br />bu*r <br />wt I <br />N <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />