Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ECEIVED <br /> ENVIROAIMENTAL HEALTH DEPARTMENT" L12t" <br /> &II'ri f�hls�dlrrn by�h <br /> JAN Q 9 2917 9868 East Hazelton Avenue, Stooldon, CA 96206-6232 o oaoh nnor�th <br /> Telephone:(709)468.3420 Fax;(209) X164-0938 Web:www,sjgov�rg/ehd -=- <br /> ;;t ri'r;iiti ti' NVIRUNMEN SAL HEALTH SEPTAGE CLEANER'S REPORT <br /> PERMIT/SERVICES • �, - <br /> CC C ' � <br /> Company Name: Viv�low the month of; .�� 'year -2-0-11146 <br /> .X111 Yl �,�,�1 -«.r ..,�. Vpu� <br /> Company Address: ! C:,� y �, <br /> Strmel Address CMy Zip Cade <br /> Illd l tarmatlan sub 14tad must bo aom Ietel�itCO��UYAtAItC♦:Im�,lul0..— � ,fi� x_nY,_ _- _ :: .:•��;, �:_�.< <br /> (R) RUSIDSNTIAL k <br /> DATE NAME OF BUSINESS OR ADDRESS WHERE WORK WAS DONE GALLONS NAME OF TRfwATMRNT <br /> PUMPED (®) oftsASF3TkAP FACILITY <br /> (PUMPED PROPERTYOWNER PLEADL INCLUDE OTROET 11, DIRECTION, STkGNT NAME AND CITY (C) c}Ie�nIRAI <br /> cityY <br /> I � <br /> i <br /> Clty 1 <br /> C!l I <br /> C11 -- <br /> I <br /> Cit <br /> � I <br /> C !� <br /> CI II <br /> City <br /> CII <br /> CI <br /> tj <br /> Clt <br /> CIlV -- <br /> SC-rAGG CLEANERS REPORT' <br /> EHD 42-04 <br /> 10/4107 ` ;, �n'l `s•` <br />