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PSluliy <br /> SA N J 0 A U I N Environmental Health Department <br /> COUNTY <br /> rti ; ¢ Greatness grows here. <br /> Signature of C-57 Licensed Authorized Representative <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br /> EHD 29-01 7-01-2023 Site Mitigation Well Permit Application <br />