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ENVIRONMENTAL HEALTH <br /> • SAN JOAQUIN COUNTY <br /> Waste I..,e Survey and Inspection Report 304 E WEBER AVE 3"D FL <br /> UM STOCKTON CA 95202-2708 <br /> State of California <br /> CIWMB-54(10/03) (209) 468-3420 <br /> PART D-Notes Page 2 of�^ <br /> File Number: Inspection Date: 16 <br /> Z <br /> Business/ Facility Name: GPS Coordinates: <br /> Lj <br /> i 1 vA)O <br /> G.GI 4_1 1 ) oVti C> <br /> �1 <br /> b —7t�fl <br /> ✓ a1 n 40 /1,4;— <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: <br /> White Copy: CIWMB Yellow Copy: Operator Blue Copy: LEA <br />