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a <br />SANdOAQUiN <br />-COUNTY-- <br />Environmental Health Department <br />Site Location: <br />Ze ,v SR# or WP#: <br />City: <br />Date: <br />Z <br />No <br />IGooy►,i rn.�k 1�' <br />00 Ye } <br />iv- <br />/5c'� L <br />r <br />N <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />