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a ' SAID JOAQUIN COUNTY <br /> ENVIRONMENTAL I-IEALTH DEPARTMENT this farm by the <br /> LU Retrlrrt <br /> 600 East Main Street, Stockton, CA 95202-3629 Ret <br /> Telephone:(2D9)468-3420 Fax:(209) 464-0136 Web:wwwsjgay.or�fehcf 12 of each month <br /> 0- SEPTAGE CLEANER'S REPORT <br /> Company Narne: <br /> Report for the month of:—� 1� - ear o�0 LJ <br /> COmpanyAddress: <br /> -- <br /> siA Crty c 310 Signature; <br /> All I,nformatlnn submitted must be com late. accurate, and le lble 4 coos <br /> [ HATE NAME OF BUSINESS OR <br /> A IMPED PROPERTY OWNER. ADDRESS WHERE WORK WAS DONE C'4UONS NAME <br /> PLEASE INCLUDE STREET A, DIRECTION, SND <br /> STREET NAME ACITY PUMPPUMPED {G) <br /> C cFEE1 rAL �GI2FpgE�pp � TREATMENT <br /> /j <br /> ,U �— <br /> w cit <br /> w <br /> i ca <br /> { <br /> w <br /> cal <br /> <:I <br /> U7 <br /> w Ci <br /> <_I <br /> C. <br /> Ci{ <br /> r—) <br /> 0 <br /> C <br /> 0 <br /> z <br /> CD C c� <br /> L cr <br /> Li) C. <br /> V '— <br /> co <br /> C➢ Cd o <br /> CIA <br /> aty <br /> LO <br /> CV _ <br /> m Ci <br /> a� <br /> c� CI E= <br /> N <br /> } <br /> m cHD 42-00 <br /> �i 10/41V N <br /> SEPTAGE CLEANERS REPORT <br />■ ■ Y 111 V <br />