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i <br /> I,�'`"�,� San Joaquin County I <br /> i} EnvironmerAal Health Department Retrrmthis 1brm byo�,a'�o�;�• 304 East Web or Avenue,3rd Floor,Stockton,CA 95202-2708 the� ,of each month <br /> C--4 Telephone: (205)468-3420 Fax, (209)464-0138 Web.www.sjgov.orgJehd <br /> SEPTAGE CLEANER'S REPORT <br /> Company Name: UNITED SITE SERVICES Report for the month of. MAY year 2411 <br /> Company Address: 364 N. 10TH ST SACRAMENTO 95814 Signature: <br /> o Street address City Zip Cade <br /> a , <br /> All information Submitted must be cornpleted,accurate and legible <br /> {R}RESIDENTIAL <br /> DATE NAME OF BUSINESS OR ADDRESS WHERE WORK WAS HONE GALLONS {G)GREASE TRAP NAME OF TREATMENT <br /> PUMPED PROPERTY OWNER PLEASE JNCLUDE STREET#, DIRECTION,STREET NAME AND GITY PUMPED (C)CHEMICAL FACJLITY <br /> S)2011 MORADA FARMING 500 N JACK TONE RD cnY LINDEN 400 C DMI THAMES WATER <br /> CITY <br /> CITY <br /> city <br /> CITY ; <br /> CITY <br /> CITY <br /> CITY i <br /> - .. CITY - <br /> w CITY <br /> y CIN , <br /> w CITY <br /> CI? CITY . <br /> MY <br /> cr{ <br /> a C r<Y <br /> w <br /> Crry <br /> c ITY <br /> CRY <br /> CRY <br /> MY <br /> CITY .. . <br /> o ' <br /> CITY <br /> CITY <br /> T CITY <br /> 0 <br /> C+ CITY <br /> CITY <br /> CITY <br /> CITY <br /> CITY <br /> CITY <br /> I <br />