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ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY <br /> Wasteoe Survey and Inspection Repo 304 E WEBER AVE 3RD FL <br /> E= <br /> STOCKTON CA 95202-2708 <br /> State of California (209) 468-3420 <br /> CIWMB-54(10/03) <br /> PART D -Notes Page 2— <br /> File <br /> File Number: Inspection Date: <br /> Business/Facility Name: Jl GPS Coordinates: <br /> r <br /> 11 G 11 >� •� ✓� <br /> o <br /> n <br /> 1 676 <br /> I b•..e fl 5�' ' �n <br /> All <br /> r <br /> 7i(— <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: 44 <3 —2 / V <br /> White Copy: CIWMB Yellow Copy: Operator Blue Copy: LEA <br />