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ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY <br /> Waste `.t ire Survey and Inspection Report, 304 E WEBER AVE 3' FL <br /> -MII STOCKTON CA 95202-2708 <br /> State of California (209) 468-3420 <br /> CIWM13-54(10/03) <br /> PART D -Notes Page -2—of Z- <br /> File Number: Inspection Date: <br /> U <br /> Business/ Facility Name: GPS Coordinates: <br /> �-� 1 l <br /> Z-76-2 5_1 <br /> C, `)751 , v.i T r <br /> l,D lei`CISr> or- <br /> lZe <br /> rbc <br /> GG b <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 A4- & Phone: 6O —ZOM <br /> White Copy: CIWMB Yellow Copy: Operator Blue Copy: LEA <br />