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.$AN J.OAQu1N Ct7URTY ; <br /> N1t{RONMEt�ITAL HPWT ©EPARTMENT �28 1tii7 thlS fOrM 13j�tlt@ <br /> :. 1868 East Hazelton Avenue, Stockton CA:9520 232 12-6f each frn*nth <br /> Tele one: 20fl +#68 3420 <br /> P f. ) Fax. ( fl9j 464 0138 Web wwyv slgov:oTg/ehd <br /> " <br /> SEPTA CLE 'S REPORT. <br /> Cqm aii .Na► e: � tY1{ O <br /> R <SorE-tor the month of: `' year e l <br /> Company',Addr�ss: J <br /> gnatu re: <br /> All. information. s.Uhm{Ited tnuaU ba c"om leta, accurata and te' Ible <br /> DATE NAME OF.BU$INESS QR: ADDRtsS wkrz woRi(WA$DONE GAI:LDNS {R):REs�i€ranaa ¢IA�Iq )qF 7REATINE�+1T <br /> PUJVIF"ED: PROPERTYOWNErii PIJARPEEf (G} GRII15gTRAP �ACIt17Y <br /> .PLEAS@ INCLtFRE ST W" it B, OIRectro"', SYREE7 N,AMH:A.40: CITY C CHEidtCRL' T <br /> bly <br /> } <br /> ► � - , 4c ; <br /> 42 . <br /> . QL <br /> { city. <br /> qq <br /> N i G1�. <br /> 0 <br /> W. <br /> CK <br /> O <br /> CV <br /> b. <br /> City <br /> G — <br /> wF <br /> o: C' <br /> m <br /> 814042-U: a, <br /> d '` $gF7%q CLEANfRS;REPORT <br /> , , <br />