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sae` SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Return this form by the <br /> 600 East Main Street,Stockton,CA 95202-3029 12th of each month <br /> Telephone:(209)46B-3420 Fax:(209)46"138 Web:wwwsjgov.orglehd <br /> SEPTAGE CLEANER'S REPORT U WIED <br /> Company Name: e-le&9141114 Report for the month of: une year 0a <br /> Compalny Address: /21 0 6aX u� l'� 37V Signature; � .fc'CCGf <br /> o Shed Address Crv/ ,zip Code <br /> C5 All Information submFtted must ba com late, accurate and legible <br /> DATE NAME OF BUSINESS OR ADD RESS WHERE WORK WAS DONE GALLONS (R) umEe NAME<OFTREATMEfiT <br /> PUMPED PROPERTY OWNER PLEASE INCLUDE STREET 01 DIRECTION, STREET NAME AND CITY PUMPED (C) CRIME TRO FACILrTY w <br /> CHEMICAL <br /> v 6 OZ aJ C o LeA 503 C? <br /> 4d D 07 0 c 5�.3 5 <br /> Gt s A UU 1' c. d# CA SZ3 DC7 <br /> ` 05 �� ���a ` cin CA rib <br /> CRY- �jlo <br /> o r 5- n � �flsZ 3 O <br /> U Mot1i ch u <br /> z v I(hi a I&M 64J , Yak, Lc.'#q1) .CA %2 40 <br /> a cr arra <br /> 3 a t f a of n Z fill 7 GR g5z3 Q <br /> v (C not 7S"a 1602 o CA 3 <br /> �' v s U tU- Hw 0 cq SZ d <br /> o9 V, V- - <br /> IC4 45GIf10, 4 Z S C7 <br /> 0:D v� a /�n o W Cflv Ch q5M' L4 <br /> T 9 � r1� dun Q (i) artv S <br /> 6 ozz 5 <br /> �Mu /�U/L f C 67 (� <br /> w <br /> END 42-04 SEPTAGE CLEAVERS REPORT <br /> ip�9FD7 <br />