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ENVIRONMENTAL HEALTH <br /> R SAN JOAQUIN COUNTY <br /> Waste i.,'e Survey and Inspection Repor 304 E WEBER AVE 3' FL <br /> STOCKTON CA 95202-2708 <br /> State of California <br /> CIWMB-54(10/03) (209) 468-3420 <br /> PART D - Notes Page 2--of 7— <br /> File Number: Inspection Date:6 <br /> 11d <br /> Business/Facility Name: GPS Coordinates: <br /> / d4sirl <br /> o ►-U..r-- C lf'1 <br /> t <br /> r, l LD <br /> o L <br /> G <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: ( 6 9^ 29 T, 6 <br /> White Copy: CIWMB Yellow Copy: Operator Blue Copy: LEA <br />