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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave.-Phone : 466-6781 <br /> P.O. Box 2�u9 Stockton, Ca. 85201 <br /> ❑ Approved <br /> Approved :rit': e'taaree : See Remarks <br /> ❑ Disapproved; See Remarks <br /> Remarks 11n5- 27 L 1/ <br /> App:ova'_ O: ties : +a-az-.j oxtends o: _; to <br /> that w1 i31: is i h0A'a nct deooribed t ere- <br /> on but does not aathor-i-e or approve <br /> my omission or deviation of require- <br /> ,nts of State laws or local Ordinances. <br /> (� �?kB1Lf (l�C4PY0�(�4-)/�'-f�-�d¢2�l�u�j' !v/�i7�ll�/¢�IFILSI F02 Tz1�rC8CCCr� IZIIUS�� <br /> trTC- 9JEW6v*Fb <br /> To TIP', o�cCF— 07 M+W -�o b6 7� OF TAW 1�-Sn20046 <br /> —04177( FDtL0004r 7E%Tr AZAR T{ft���oyr� /y�TN(47 oa �eq�Tnum� 2�7Q�u�e� �1kY <br /> O WdT 1 t/G / Ettk 7"f� FYI 9(Er C/l.�l�ri4�-'��CO�V.��iTLlv�/5, of l(a_. <br /> e-[�Fr4aC-" Ii4 h E65) u5(/V& EW Mr -Hobs( #SOK-W041Rr,667'�Q) <br /> C-57x)) '48-0/OCC40Z(K*rk7b ` l/F ((7tj) �crd I iTFD(Z �>cp5. <br />