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-� SAID JOAQUIN COUNTY <br /> of each montth <br /> Return this fare <br /> © 'r` ENVIRO>AMENTAL F i£ALTH DEPARTMEN T 122tH h the <br /> 6DO East Main Street, Stockton, GA 952D2-3029 1 <br /> _ Tetephorre:(209)46I-342D Fax:(209)464-0136 Web:www_slg0v.orgfehd <br /> CL t <br /> SEPT�jAGSS <br /> �E CLEANERS,REPORT , , n year <br /> Company, an' Namn,e: I '' � J � IN(, - !/l'r �l � �lC� Reporl for the onth oi: <br /> ignatu <br /> Y <br /> Company Address: <br /> st,eet neap car zip ooae <br /> All iaformatlon submitted most be complete, accursts and le lble (R) Iws rut NAIAEOFTREATWNT <br /> ADDRESS WHERE YORK WAS DOME LON$ GREASE TRAY FAC1LrTY <br /> DATE NAME Of B()SINESS OR pDMPED <br /> JPUWED PROPERTY OVVWR PLEASE INCLUDE STREET t, OIREC'10"' STREET NAME AMO CITY [yNcMbCJLL <br /> T <br /> 53 <br /> Ljj <br /> w <br /> CRY <br /> H <br /> W <br /> C-k <br /> CAY <br /> GAY <br /> 1 <br /> afty <br /> C <br /> l� <br /> CD <br /> LO <br /> m <br /> N VE V <br /> C — <br /> --a <br /> AL 6 2015 <br /> y <br /> CD <br /> -A -ENVIMU <br /> CD — PER&T/S.EEM.CES <br /> O - <br /> CASEPTAGE CLEANERS REPORT <br /> EHD 42-04 <br /> t Of4J07 <br />