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SANJOAQUIN CDJNTY <br /> o r` Return this form by the <br /> EWIRONNAENTAL FIF-ALT i DEPARTMENT �Zt° of each rnoruh <br /> 6p0 East Main Street, Stockton, CA 952D2-3029 <br /> �^ Tetephane:(209) 468-342D Fax:(209)464-0138 Web:www.sjgov.argfehd <br /> 'S REPORT <br /> CIA <br /> 1 SEPTAGE CL t�tER -� <br /> vi td1✓ i(, ��1 ✓ .,Y , /� �7 �' Report for t#�a� onth ofd year <br /> Company Name: ,` <br /> ✓ rr. 04> I' _ 617V 13 -C ,C Signa <br /> Company Address_o R�� ry C <br /> information submitted must be com tate, accurate and le Ible <br /> All ato WAS DONE // (R} Ry4)D ut NAME OF TREATMENT <br /> ADDRESS WHERE WORK ,r,3�AYLLO,N3 T <br /> DATE NJ1h1E Of B(jSiIiESS OR ED FAC?LRY <br /> PUAVED PROPERTY()WNER PLEASE INCLUDE STREET E, DIRECTION. STREET NAME AMD CITYLLJ <br /> DirCf1E1tMJtL <br /> A1271 <br /> 7 ' _ <br /> W <br /> COY <br /> pER NTAL <br /> D eES <br /> T <br /> D <br /> N <br /> C <br /> --1 <br /> C� <br /> D <br /> V <br /> Tj <br /> SEpTACE CLF <br /> HkERS REPORT <br /> y <br /> Eta 02-01 <br /> tO+aD7 <br />