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SAN JOAQUIN COI.TNI'Y Return this form by � <br /> 1-4 r� KoNMEhtTAL REAL,TH DEPARTME r <br /> CO 304 East Webar A—uc,3r°Floor, Stockton,CA 95202-2708 <br /> the 12"'of each mouth <br /> m Telephone:(209)466-3420 Fay (209)464-0138 Web:www,sjgov.org/chd <br /> 2 <br /> w S&FAGE CLFANERIS REPORT U /3 <br /> a <br /> aReport for them th (If-. }ea — <br /> Cotnpan�'I�Tame: C & C Portable Toilets, Inc. Signature:,.��11-'f •� P' �'�-�'f2—�f <br /> P-O. Box 1523 <br /> Compan3�Address: Riverbank, CA 95367 z;�caac <br /> Ail informAL11011 submitted must be earn ittc oeeurrte and le iblc RBtro°m'1AL <br /> ADDRESS IVIME�YpRH V1`AS DOLE GAL1 OKS (G} CPEASETRAr FAME Of'THEhTME*�T <br /> DATE t;AbII3OPHUSI!\ESSOR PUMPED FACIL[TX <br /> + ruwwm PROPERTYOWNF•I! PLEASE 1KCLUDE STRErT t. DIR[CT10t1, STREET ttAML CITY Q CN(1f[CAL <br /> co Q /2 <br /> M W , G� <br /> W <br /> N <br /> LJ <br /> (� Cin <br /> z �pCiry <br /> w <br /> gi4 aa r5w - <br /> CiD' --r— <br /> Or),37 <br /> N <br /> W � <br /> H - <br /> ��y z <br /> 4.) c - <br /> C`" <br /> OD <br /> O m cr <br /> EL m Coy — <br /> Uv <br /> 03 LD Ciry <br /> U Cn <br /> CD __ o <br /> Cv <br /> Gcv O <br /> Q m � <br /> Ciry• <br /> N —_ -- Ciry <br /> .4 \ City <br /> � n <br /> O \ — <br /> N a' LIID 42-114 <br /> M 813(1104 <br /> �o <br /> E <br />