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SA\JOAQUIN COUNTY <br /> ENVIRONMENTAL R11ALTHDF.PARMENT Return this form by <br /> LD <br /> 304 East\Veber Aveuuc,3''Floor, Stockton,CA 95202-2708 (lie 12"'of each month . <br /> m <br /> � TelepProne:(209)468-3420 Fat(209)464-0136 TT'eb:tivw�v,Sjgov-org/eh <br /> Lij SEPT'AGE CLEANER'S REPORT <br /> a <br /> Company Name; C & C Portable Toilets, lnc-' Report for the 13 e (l)of year <br /> P.O. Box 1523 Signature: " <br /> Company Address: Riverbank, CA 95367 7ipCW, <br /> P.IT Information -subn'llfed must bt corn lett occur ele and le ible (R) pg¢mrMLIL J <br /> DATE KA 61F.OF BUSINIFM OR ADDRESS WHERE WORK RFACILITY <br /> 'AS DONE GAL1At+5 (G) VKXASSTR" NAME O -1711E�T <br /> Iti s PROPERTYONWER YLCASE INCLODE STREGT R, DIRECT10rv, STRELT NAME AND CITY PUWED (C) CUr.NarAL <br /> J O - CRY / <br /> N Q 'lam <br /> tD <br /> 00 = Gq• <br /> n <br /> O <br /> CO a I 4:2 <br /> � <br /> m z 2 <br /> o w � , ci <br /> N z <br /> H <br /> Cary <br /> QA <br /> w <br /> d Ci J <br /> a 5 b tfid <br /> Cit, o� <br /> IA �o <br /> - o <br /> .n z <br /> f0 W City <br /> 0 m <br /> IL iD <br /> v cey <br /> U m — - <br /> oa r4 cln <br /> U - o <br /> Ciry <br /> ro - <br /> -4 <br /> �. <br /> – — - c -- o <br /> --- Giy E� <br /> m <br /> Cep City F- <br /> ln <br /> ti <br /> m m L 11D 42-04 <br /> O . 8/30/04 <br /> U <br /> 0 <br />