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SAN JOAQUIN UOUNTY <br /> z MLNT ENVIRONMENTAL HFAL7'H DEPART <br /> Return this fortiill by <br /> "'a ' 600 East Maui Street, Stockton,CA 95202-2708 the 121h of each month <br /> p D Tdcphune:(200)'468 3420 l�a (209)464-0138 Web:www.sjgov.or el <br /> ' d'R )RE " SUN PUMPING SERwE - EN AN <br /> FEB 0 3 i0lo RUM a ND LSV PTAGE CLEANER'S REPORT <br /> Q- Company Name: Wjprd rAAM80 - Report for the month of."_ year <br /> comItlty Address SIsiDatu <br /> PER <br /> Ci iy Lip Cade � <br /> All information Submitted must be cam ICte, accurate, and le ihle <br /> DATE NAME OR RUSINM OR ADDRESS WHERE WORK WAS DONE GALLONS (R) RESIDENTIAL NAME OBTREATMCNT <br /> PUMPED PROPERTY OWNr.R PLEASE iNCLUDE STREET N, DIRECTioN, STREET NANTE AND CITY PUMPED (G) cREAsnTRAP r ctury <br /> C7 <br /> C CKLMti'.AL <br /> Cily <br /> KC <br /> Q Cif <br /> N - <br /> _ City <br /> Cit <br /> 0% <br /> i= � Cil <br /> l Ci[y <br /> Cil <br /> Cit <br /> n - <br /> Cil <br /> Cit <br /> N ' <br /> 00 Cit <br /> O y <br /> Cil <br /> N <br /> Cit <br /> J Cit <br /> Cit <br /> ca <br /> Q -- <br /> Cil <br /> O <br /> Cil <br /> try Cii <br /> O <br /> m ERD 42-04 <br /> LL .,_ _. SroidCCsspool Repcet <br />