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pts <br /> ya c� SAN JOAQUI1V COUNTY <br /> c:?t ENVIRONMENTAL HCALTII DEPARTMENT Return this form by <br /> 600 hast Main Street, Stockton,CA 95202-2708 the 12th of each month <br /> sED <br /> i P ' Telephone:(209)468-3420 Fax:(209)464-0138 Weh:www.sjg r d <br /> I ZOQb <br /> VALLEY PUMPING SERVICE <br /> ENTERED <br /> ' � `� BRICK OR DEBRA 9ORRalI SEPTAGE CLEANER'S REPORT r <br /> a 1, ;33 9 S TEGNER RJ <br /> Company Nam p ,,,,s:AvlCA ,� <br /> , fit Report for the month of: year <br /> i�lfC: <br /> Company Address EFAIMSRVyC�S <br /> ytrect Address city zip Cn& <br /> All information submitted must be complete, accurate, and legible <br /> DATE NAME OF BUSINESS OR ADDRESS WHERE WORK WAS DONE GALLONS (R) RESIDENTIAL NANTE OF TREATMENT <br /> PUMPED PROPERTY OWNER PUMPED (Gl GREAS1:TRAP FACILITY <br /> Ce,oh PLEASE INCLUDE STREET N, DIRECTION, STREET NAME, AND CITY C CHEMICAL <br /> 19 <br /> City <br /> rn <br /> CD _.... City _.,.._ <br /> 1 <br /> Ca <br /> Cit <br /> City <br /> Cit <br /> cit <br /> City <br /> nit <br /> Cit <br /> 1 [/ l'�� •�� Cit V <br /> �� City <br /> City <br /> city <br /> citv <br /> C <br /> 7 <br /> coo Cit <br /> Cit <br /> City <br /> CP0 <br /> Cil <br /> O <br /> co Cit <br /> CD <br /> G <br /> ETID 4244 ScptidCcsspaol Reporl <br />