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SAN JoAQIXN COUNTY �REC�EI n his form by the <br /> ENVIRONMENTAL HEALTH DLPARTIAL lZt�o each month <br /> w 6DD East Main Street,SI=Mon, CA 952 D2-3029 <br /> TelEphortg:(209)468-3421)Fax:(209)464-0138 Web:www.sjgov.0rgiehd JAN ] 3 r:;. <br /> SEPTAGE CLEANER'S REPORT ENVIRONME T ��1 .,_ <br /> Report for the year <br /> Company Name: <br /> Company Address: t�r za cxa� <br /> sv�L aea� <br /> All information submitted most be com fete, accurate and le Ible GALLONS (R} rrFstoEHTyt NAME OF TREATMENT <br /> FATE NAME Of BUSINESSOA ADDRESS WHERE WORK WAS DOME PUMPED (G) fRPA§ETR" FACILITY <br /> D <br /> DypEp PROPERTY OWNER PLEASE INCLUDE STREET t, CIRECILOM, STREET NAME ANO CITY p/EMLCJIL <br /> Q <br /> 5 <br /> r�Dar �� �N <br /> i <br /> 71 <br /> g <br /> H <br /> L�. <br /> T_ <br /> LIJ <br /> C� <br /> I <br /> i <br /> c' <br /> 0 <br /> CD <br /> � cn� <br /> 17 <br /> m C41Y <br /> CV <br /> City <br /> i <br /> m —_ J f <br /> CD <br /> 04 COY <br /> m <br /> ED <br /> SEPTAG4--CLEANERS REPORT <br /> CJ <br /> FSA 42-04 <br /> tOt41D7 <br />