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SAN JOAQUIN COUNTY <br /> h-NIARONMENTAL REALTH DEPARTMENT Return this form by <br /> m 304 Fast Weber A-.,euuc,V Floor, Stockton,CA 95202-2708 the 12m of each month <br /> N Telephone:(209)468-3420 Far:(209)464-0138 Web:www,sjgov.org/ehd <br /> W <br /> U <br /> SE,PTAGE CLEANER'S REPORT <br /> Compimy Name: C & C Portable Toilets, Inc. Report for thth of<:;; <br /> P.O. Box 1523 year <br /> Company Address: Riverbank, CA 95367YipGadc Signature , c�.'�� V <br /> All lnformxliou sabmltttd must be corn tett aecurste and legible <br /> DATE hA11F.OF 9USIKESS OR ADDRESS WEMRE WORKWAS DONE GALLONS fR} FlUSIDrMUL <br /> ICATI <br /> rttAr} c1iEAssEORTRSATM�t1'T •' <br /> O = rumP/ED PROPERTTYOWNER FLHASE INCLUDE STREiT If, DIRCCTIOM, STREET NAt1 A1;D CITY PUMPED (GG) citASrTt FACILITY <br /> N Q4nz,4 <br /> CE11t <br /> R7 <br /> M W <br /> _ <br /> M <br /> ��' <br /> m a <br /> M z Z. Wit, <br /> O W <br /> N - D <br /> City <br /> all PM11- <br /> Ery �✓ <br /> Z9 <br /> W _L_mc � CSN C� <br /> CL �ryF6 CA) <br /> eo • ' D C Cit, E /L) �p <br /> city <br /> to I <br /> GI <br /> Z <br /> m <br /> L d <br /> O m IId I.I.v - <br /> v <br /> ns <br /> CD �3O m <br /> � m - <br /> .� cbr <br /> a, <br /> E11 4244 <br /> 8/3(1104 <br /> V <br /> QJ <br /> n <br /> ro <br /> E <br />