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RECEIVED <br /> JUL 2 5 2016 SAH JOAQUIN COUNTY <br /> ei <br /> EKWIRONMENTAL HEALTH DEPARTMENT Return this form by the <br /> ENVIRONMENTAL HEALTH 1868 East Hazelton Avenue, Stockton, CA 95205-6232 1 E0'of each month <br /> PERMIT/SERVICES telephone:(209)468-3420 Fax:(209)4640938 Web:www.sjgov.ong/ehd <br /> `G�� S TAGS CLEANS REPORT <br /> Company Name: ( � 7 Report for m <br /> �� P hof' year <br /> Company Address: / is:��� Signature: <br /> Suet Address City Tp Cvde <br /> All Information submitted Fnust be Complete, accurate, and legible <br /> DATE NATAE OF 13USINESS OR ADDRESS WHERE WORK WAS DONE GALLONS (R) FtmDetrnAL NAME OF TREA16IENT <br /> PUMPED PROPERTY OWNER PUMPED (G) Gp"sETr?AP FACIL" <br /> PLEAS[ lNCIUD TREE? d', DIRECTION, STREET HAME AND CITY C CHFJyCAi <br /> 45 6 i I <br /> C- <br /> OV-L' <br /> city d <br /> Z.j E,k city <br /> C 4 00 <br /> C4 <br /> 0 <br /> C. <br /> C, cr <br /> cit <br /> c � <br /> Page of <br /> EHD 4244 a <br /> 17J27l93 SEPTAGE CLE HERS REPORT N <br /> ■ ■ ■ <br /> 0 ■ <br />