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SANdOAQUiN <br />-COUNTY- <br />._ <br />Environmental Health Department <br />Site Location: <br />% ✓rpt NI'1 3 <br />L?ySR# or WP#: <br />City: <br />Date: <br />I klzzlze <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />