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SAN JGAQtTlN 00WIY <br /> AOL ENWRONMENTAL,HFALIH DEPARTNIENT <br /> v� Return this form by <br /> my 304East Weber Avenue,3`°Floor,Stoddou,CA 95202-2708 the 120 of each month m <br /> ms's Telephone.*(209)468.3420 Fax:(209)464-0138 Web:ww gov.orglehd p, <br /> m <br /> +d SEPTAGR CLKANER'S REPORT <br /> w ��py� ` l LdLICI <br /><1 Company Name: J� 1►„G � vYY 0 i: _. Report for the fh of: y�r <br /> Company Address go, 5�L`�' Signature: <br /> Stmt AAartu CRY r <br /> All Intelmatiaa submillyd mull be com lege aeeurale rod le 16It <br /> DATE NAME OF AUSIVESS UR ADDRESSQYIIB.REWORKIVASOONE GAf l.ONS (R) aESlorNo.11. <br /> PUMPEDPOOFERTf'OWPlEA (4) cAEAsr DRAY XAAIEGF11MATMMT <br /> a1EAS1 INCLUDE STREET E, DIRECTION, STREET VAMC AND CITi' PUMPED ( a¢�Eui Wilm <br /> L 2 2 lay Z <br /> �j my ` <br /> Oryo <br /> fV <br /> wy (1L <br /> r'ry "l <br /> p o <br /> OO ' <br /> F-a - <br />� otco <br /> N <br /> as <br /> T <br /> /K\J \ Clry <br /> 2 "? NIs vy. <br /> r P • ?,Ah � o <br /> z <br /> 22aS SAk C S. <br /> LO } l <br />� Clw <br /> OI � N <br />�1 <br /> m < 6tv o <br /> N 1� r <br /> IC a:w <br /> t co r <br /> m <br /> mi i tM (lq SIV�7 u1 <br /> n <br /> Cm o <br /> ti <br /> n r a <br /> DIIA � - C'1' G o E <br /> m <br />~ Qg O <br /> EHD 42-04 x > <br /> 9/30/04 <br /> m <br /> �. -7 __ <br />