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0p,OUlN SAN JOAQUIN COUNTY <br /> ...-...... C <br /> { ENVIRONMENTAL HEALTH DEPARTMENT <br /> ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Oq�1FORa�Qi <br /> . (209) 468-3420 • Fax: (209) 464-0138 • Web:www.sjgov.org/ehd <br /> REQUIREMENTS CHECKLIST COMMENTS <br /> PA#: <br /> SITE LOCATION: <br /> REPORT DATE: <br /> Section Comments <br /> EHD 26-01 4/24/12 Page 2 of 2 SURFACE&SUB CKLST <br />