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SAN 10AQUIN Environmental Health Department <br /> — COUNTY---- <br /> Greatness mows here, <br /> Site Location: Al�fSR#or WP#: <br /> City: � Date: —%S=�v <br /> �a6a C9q//a� <br /> ., � C3�S5' Levcl� G�t< <br /> L <br /> C3 Re --o vvi <br /> c A <br /> v <br /> v <br /> LTJ"-t ltltrr <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.sjcehd.com <br />