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'. ENVIRONMENTAL HEALTH <br /> ._, Waste r i1 e Survey and Inspection Report SAN JOAQUIN COUNT <br /> 304 E WEBER AVE 3 FL <br /> to of (10/03) <br /> `✓MB-54 STOCKTON CA 95202-2708 <br /> 54(103 <br /> (209) 468-3420 <br /> SRT D -Notes <br /> :iie Number: Ins tion Pat : Pa9e hof <br /> 3 siness/Facility.Name: Ig 1E) <br /> --��Q� \G ; GPS Coordinates: <br /> o <br /> fz <br /> 1� <br /> i <br /> L4,CA ti �— O 2776 <br /> 2® 4, <br /> N2 -kv <br /> I�ac e I <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 /> nspector's Signature � 1L Phone: -- 633z— <br /> White <br /> 33ZWhite Copy: CIWh1B Yellow Copy.Operator Blue Copy: LEA <br />