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San Joaquin County <br /> .I Environmental Health Department Returnthlsform hy <br /> 304 East Web erAvenue,and F 100r,Stockton, CA 95202-27M CSE 12th of each maMtr <br /> C-" Telephone. {209)4683420 Fax: (209)464-0138 Web: wrvw.sjg0v.org19hd <br /> SEPTAGE CLEANER'S REPORT <br /> Company Name: UNITED SITE SERVICES Reportforthe month of: MAY year 2011 <br /> Company Address: 360 N. 10TH ST SACRAMEN70 95614. Signature: <br /> o Street address city _ - 7jp Cade <br /> All information submitted must be completed, accurate and legible <br /> {R)RESIDENTIAL <br /> DATE NAME OF BUSINESS OR ADDRESS WHERE WORK WAS DONE GALLONS {G)GREASE TRAP NA61E OF TREATMENT <br /> PUMPED PROPERTY OWNER PLEASE INCLUDE STREET#,DIRECTION,STREET NAME AND CITY PUMPED (C)CHEMICAL FACILITY <br /> 5+12+'2011 MORADA FARMING N OAK ST erre ACAMPO 10 C OMI THAMES WATER <br /> DAVIDfANTHONY FUS4 JAHANT RD crrY ACAMPO 20 C OMI THAMES WATER <br /> M AND R PACKING COMPANY 21M N NOLAN ROAD cnY ACAMPO 15 C OMI THAMES WATER <br /> MARK MAYER 181 FOREST LAKE RD crTY ACAMPO 15 C OMI THAMES WATER <br /> TOLEDO FARMS 2525 E CAMPO RD crrY ACAMPO 230 C OMI THAMES WATER <br /> CHAPPELL TRANSPORT 19555 FRONTAGE RD crrY ACAMPO 45 C OMI THAMES WATER <br /> AM MARKET 4579 E ACAMPO RD CITY ACAMPO 15 C OMI THAMES WATER <br /> WILLIAMS CUSTOM VINEYARD 5375 E PELTIER RD crTY ACAMPO 10 C OMI THAMES WATER <br /> MAGNOLIA STABLES 19128 LIBERTY RD crrY CLEMENTS 15. C OMI THAMES WATER <br /> w HAPPEE HORSES INC. 21356 E ACAMPO RD cITY CLEMENTS' 10 C OMI THAMES WATER <br /> M AND R PACKING COMPANY 25839 MACKVILLE RD clrr CLEMENTS 15 C OMI THAMES WATER <br /> ALL AMERICAN WASTE SERVIC 18141 E STAMPEDE RD CRY CLEMENTS 10 C OMI THAMES WATER <br /> E BAY MUD-AQUADUCT SECTI FIWY 88 crTY HERALD 15 C OMI THAMES WATER <br /> EARL DECKER 28335 N MACKVILLE ST crr LOCKEFORD 10 C OMI THAMES WATER <br /> t„ BRUNS BELMONT CON MUCTI 19456 N TULLY RD cRY LOCKEFORD 25 C OMI THAMES WATER <br /> o M AND R PACKING COMPANY MOGAN LN crTY LODI 15 C OMI THAMES WATER <br /> COLLIGREE FARM MANAGEMEP 23201 N RAY RD crTY LODI 150 C OMI THAMES WATER <br /> RESTORATION RESOURCES WOODBRIDGE RD cITY WOODBRIDGE 15 C OMI THAMES WATER <br /> MORADA FARMING 504 N JACK TONE RD cnY LINDEN 4C0 C OMI THAMES WATER <br /> CDM 11373 N LOWER SACRAMENTO RD Crrr LODI 900 C OMI THAMES WATER <br /> MERITAGE HOMES VIOLA+QUESTA TRAIL CITY MOUNTAIN HOUSE 40 C OMI THAMES WATER <br /> o SHEA HOMES KELSO ROAD circ MOUNTAIN HOUSE. 35 C OMI THAMES WATER â‚Ĵ <br /> SHEA HOMES OF NORTHERN C BONA VENTURE crTY MOUNTAIN HOUSE 75 C OMI THAMES WATER <br /> SHEA MOUNTAIN HOUSE, LLC 17103 W. BETHANY cRY MOUNTAIN HOUSE 150 C OMI THAMES WATER <br /> CAL-NEVA CONSTRUCTION S TRACY BLVD cRY STOCKTON 20 C OMI THAMES WATER <br /> LOPEZ AG SERVICES 4946 UNDINE RD crTY STOCKTON 30 C DMI THAMES WATER <br /> RODOLFO BAUTISTA 16881 CLIFTON CT erTY STOCKTON 30 C OMI THAMES WATER <br /> Lc; <br /> J MARTINEZ FARM LABOR 3489 W MULLER RD crTY STOCKTON 80 I C OMI THAMES WATER <br /> MARCHINIAG FINCK RD ctrr STOCKTON 15 C OMI THAMES WATER <br /> MARCH INI AG 4005 S ROBERTS RD Crnr STOCKTON 15 C OMI THAMES WATER <br /> D R NORTON-BAY AREA 554 GLENDORA AVE Carr TRACY 25 C OMI THAMES WATER <br />