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SANJOAQUIN COUNTY <br /> 1'-NVlR€NN:lE\T:U.W ALT"I'I ISI-,P.4lZ"I�'Ik`1" Return this forin r <br /> 04 ;vast Wgiber Avenue.3"Floor,Stock, on.CA 9 202-7708 the 12"of each m <br /> ,o Telephone:(209)469-3-4-20 Fat: ('109)464-0138 J'Jnb:tivL=m.sj(Yov.or2;ehd <br /> \C <br /> Vic,;nRa� CHEMICAL TOILET CLEANERS R P � � <br /> �R <br /> Company Marne: '�_�.�._ �-��-��.-- -�_-C�� _ --- port for he Month of:----�__-------- 'ear,. <br /> CElfi3p`AIIV AtdI'253: .f 153�_. Slhnattlre: 1� ��wr��a <br /> Scrcei,fid r ss ` Ci:: Tp Cate Q� W <br /> �R <br /> All informat'iott jtiI)mittcd must be COMplete. acCttrate, and Iegible <br /> _ _ f'O"fAE.\'I'tiiBT:R O!' O <br /> TOTAL VOLUML OF <br /> ' <br /> ZK <br /> CiTl\ JiE2k-!'['1FJCfifICA , IIICILIIIF7 <br /> IDATI iltEN <br /> (IEMICAL TOILT«.kSTE <br /> PUMPED TOIUTSAI2I;LOCATF1) PUMPED INSPF -Iflfl) \ IILRE C11 .MICAITOI,i,."r WASTE,DISPOSED <br /> PIMM'D PER CITY PER DATr <br /> cl CITY PER DATE <br /> � <br /> Ln <br /> •- �L.�_i_ -L _ �.__ �_� J-_.�_ __ /! i-t:j is _1 �' `'_—n� .—_i _`_'_«.�-._�__��._-._.._,y."._. -`f-__ '._""__-._-,_. Im <br /> Ln <br /> CD <br /> GD <br /> QD <br /> I �, -- — --- I;o!t is i -'--- n 1 .. / r <br /> — — � A-,e � 4 --- � _s _.m— --_ = __� �_— — ------ -- --- ------ <br /> Ii..I, 1-0 <br /> KA r' i �`' �I �' ; l� J N <br /> CID <br /> cor / <br /> A <br /> Vil-e <br /> tm <br /> rQ <br /> Fri <br /> # <br /> t�.�S1:'�_n I, Chesnieal'cilcE Rc;or. <br />