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.... <br /> _ . .. <br /> j �i a cfit- SAN JOACII#1N.C.f1v"TY. <br /> ENMONMENUL.HEALTH DEPARTMENT <br /> Refurn.thit.forttt by the: . <br /> 1$68 fast Hazelton Avenue,;Stockton,CA 95205-6232 . ` 12%-.`o€each month, <br /> = TOlephone;:{209}:468 3420 Fax:(209}464 0.138 Web www,eJ9©v:orglehd. <br /> SEP7tAGEL. iA1VEl 'S REPORT,, <br /> .00M 49Y.Name: C' , , <br /> -VORep�irt€pr'the mon#h of 1 � year, <br /> Crirn{iany Address: ' Signature.: 1 +t-•- <br /> ` <br /> A11 In.tocmati06 su6mitta'd must be com Pete, dc>ru'rate,'and ler ible: <br /> : .DATE 1[AIWE C?F BUSINESS QR'. ADDRESS WHERE WORK WAS DANE. GALLONS 'tR) rt otntTlAt <br /> PUMPED- <br /> PROPERTY OWNER NAME OF TREATMENT. <br /> FL0ASF'. JVCZL.tOE S--T'REE1: #, DIRECTt°ONi STRQET NANtf AMD''+:rrY 'PUMP€D �Gi! 6REASEtRAp. Kk,CILiTY <br /> �i �. �. ��- -•�"` •r�: :�'� ►�1`l�:-`� �. , . `. . G.�t:F1E1,g1(tAL <br /> t1I� . <br /> . . <br /> 24 <br /> CO <br /> co <br /> v C <br /> N <br /> Ci z <br /> 777 <br /> Gi o <br /> C N <br /> ' C o <br /> CO <br /> � EHD 42.04 , : • ,. . <br /> d tl]14,OZ:' SEPTAGE t;LEAN�RS REPORT a <br />