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ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY <br /> Y : Wasteire Survey and Inspection Report 304 E WEBER AVE 3' FL <br /> STOCKTON CA 95202-2708 <br /> State of California <br /> CIWMB-54(10/03) <br /> (209) 468-3420 <br /> PART D -Notes Page�X—of <br /> File Number: Inspection Date: <br /> 3 � <br /> Business/Facility Name: ,1 GPS Coordinates: <br /> e i a r 6 <br /> S <br /> � s <br /> ll--f'f 1 r G. <br /> wpjl 1 <br /> Follow-up: <br /> ❑ Letter of Violation ❑ Violation re-inspection ❑ Refer to CIWMB Date: <br /> Date Mailed: Date: <br /> ❑ Other Referrals <br /> ❑ If this box checked NFA required. ❑ No tires, remove. ❑ Out of business, remove. <br /> Inspector's Signature ` Phone: ��-7i I <br /> White Copy: CIWMB Yellow Copy: Operator Blue Copy: LEA <br />