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CD SAN JOAQUIN COUNTY <br /> EWRONMENTAL HEALTH DEPARTMENT Return this four by the <br /> w : <br /> 6DD East Main Street, Stockton, CA 952D2-3029 1 Zth of each month <br /> Tefephona:(209) 468-3421)Fax:(209)464-0136 Web:www_s19ov.orgfehd <br /> ` <br /> EP AGE CLEANERS REPORT 5L� <br /> !� <br /> � Report for the nth of. ye r <br /> Company Name: „ . <br /> Company Address. I Tao , Signature.� <br /> Suee Adamas cin zip ccde <br /> All information submitted most be com late, aCcurats and le lble (R} �s�>xt <br /> ' LppJg NAIYIE OF TREATMENT <br /> DATE NAME OF BUSIMM()R ADDRESS WHERE WORK WAS DOME PUMPED zRb FACILr1Y <br /> J PUWEO PROPERTY OWNER ►LEA5E INCLUDE STREET i, DIRECTLoN, STREET ►LAME AND CITY23-714 CAY <br /> pl <br /> LIJ <br /> 0 <br /> 11z 0 <br /> w <br /> Dow <br /> C: <br /> Cal <br /> nt <br /> G-Eft <br /> CD <br /> 015 <br /> LD COY <br /> Nr <br /> cilyROHM <br /> - ERVICES <br /> CV - — <br /> city <br /> c*� <br /> CRY <br /> m _ <br /> ti <br /> CD <br /> CV <br /> CD <br /> tD <br /> C-4SEPTAGE CLEkNERS REQORT <br /> Elft 42-0L <br /> l Ot4J07 <br /> r _ <br />