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According to the NCAA, Level III violations are "isolated or limited in nature

Armed with the recent US Environmental Protection Agency report that identified secondhand smoke as a Class A carcinogen,13 the San Joaquin County Smoking Action Coalition, a group of residents formed to promote smoking ordinances, approached the Lodi City Council in December 1989 to request consideration of a smoking control ordinance

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Any benefits of simply reducing are unclear

The tradition is under fire for its negative health impacts and several medical research studies show that chewing betel nuts is highly carcinogenic