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ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY <br /> :A <br /> Wastete Survey and Inspection Repor . 304 E WEBER AVE 3� FL <br /> "' STOCKTON CA 95202-2708 <br /> State of California (209) 468-3420 <br /> CIWMB-54(10/03) --77 <br /> PART D -Notes PageG--— <br /> Of <br /> File Number: Inspection Da e: <br /> ,, 0 <br /> Business/ Facility Name: GPS Coordinat s: <br /> { ( A� <br /> IT <br /> J fJ h <br /> 0 oi� a <br /> 41 <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: J <br /> White Copy: CIWMB Yellow Copy: Operator Blue Copy: LEA <br />