Laserfiche WebLink
-4 SAID JOAQUIN COUNTY <br /> m <br /> ENVIRONMENTAL HEALTH DEPART ENT- Return this form by <br /> 't m 304 East Weber Avenuc,3"dFiom, Stockton,CA 95202-2708 the 12`'of each month <br /> Telephmtc:(209)466-3420 Fa.L(209)464-0138 Web:www.sjgov.org/ehd <br /> 2 W <br /> SEPTAGE CLEANER'S REPORT <br /> CompanvName; C & C Portable Toilets, Inc. �,� / <br /> P.O. Box 1523 Report for them th of: yea — !0/ <br /> Company Address: Riverbank, CA 95367 <br /> Signature; :/moi/1�A��::1 zV <br /> All lnforraxilou suLmitted must be corn lett urcuraic ■nd legible <br /> DATE FA"R-OF BUSK TM OR ADDRESS WHERE WORK WAS DOTE <br /> J=ALLOINS RV"D�rNAhtEORTRRATM;\fO PUtPEIPROPBii Y OYNEl (G) CREASCTRM <br /> ►LEAS£ )NCI-UDE STRCET A, DIRCCTION, STRETT NAAAND CITD FACILITYC) ' <br /> . t <br /> m z ��-, <br /> � Gry , <br /> W -� <br /> O F- / <br /> O lZ ZE <br /> n4' <br /> N <br /> z D ce City <br /> > „ �ry <br /> H // "f/ <br /> z <br /> LLj <br /> z 9 9 ,0 c Cit) c ,zJ w <br /> r, <br /> c„y � <br /> F- <br /> 0 iiAe Cin• <br /> CIDZZ& _ <br /> �] z <br /> L (-- - M <br /> /1� � <br /> 1 d <br /> lu <br /> U <br /> Ul <br /> 06 �.. <br /> CD D o led I,ry - <br /> U N <br /> 12 <br /> m <br /> N � Lily <br /> IL <br /> SCJ�. City' ! rc3 <br /> ._ \ Cily a� <br /> O m /, --- E� <br /> CV -- <br /> 'St' lb Cityf— <br /> Clry a <br /> °DCDE1ID 42-94 <br /> n <br /> W30/04 <br /> ro <br />