Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Re�Lsrn �h8�falerlil by t;he <br /> 1868 East flazeltan Avenue, Stockton, CA 952056232 '12t" of each month <br /> �,,; •' Telephone. (209)468.3420 Fax; (209)464-0138 Web wwwsjgov,,Orglehd <br /> SEPTAGE CLEANER'S REPORT <br /> Cr�ompany Addvesew P. d • O'er ..�� p Q 44C� igna Are: . <br /> Strout Addressq Clty zip code <br /> � G_..._u_bm1tt,ed must ba complete. accurata, and <br /> All -inform a 4l a n i <br /> DATE NAME NAME EBF EU$INESS OR ~~ � Ai DRF-SS WHERE WORK WAS DOME GALLONS (R) RaeIDE:NTIAL NAME OF TREATMENT <br /> (G) onEAeE TRAP <br /> PUMPED PROPERTY OWNER i�UMPI?D FACILITY <br /> PLEASE INCLUDE STREET i1, DIRECTION, STREET NAME AND CITY (C) CHEMICAL <br /> _•••.�.•.••-•.'11s�.'Y.F Ss�Ht�sias,.ewtAlisei6:Y•:'=.':�VREa�Y'+G..-- s:K'.tw.v'.��am�13Yt.�n~a...a�ftY.�x3S]�:T..m�=...C.'9S�1.�"^_^-JY=•t�""F-3Y.^_'SYS_'^��teT.i�..""xi=:.4fm>t•_�==^yiat^�8C`Ys'ut=%�.Y.-.a.:.Bx�.P_"—"Glele. �`s'�['a9�Gl.:a'si..._:4 14eG"��s 0.'�nt��BrmfxheOnY9�-SMd(�.Te_ <br /> wr, or D _1 ort v 350 9 <br /> u )j?a 80y Te691170- o o R c <br /> City <br /> Clty _ <br /> city <br /> oily, <br /> Ciry <br /> A;n9� <br /> City �E ' <br /> Cil <br /> City <br /> Cit <br /> City <br /> City _ <br /> Clt <br /> Litt <br /> cit <br /> IwHD 42.04 SF_PTAGE CLEANERS REPORT <br /> adY.4107 <br />