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f� San Joaquin County <br /> n, Environmental Health Department <br /> Return this form 304 East Web er Avenue,3rd Floor,Stockton,CA 95242-2708 the 12th of each mon!M <br /> reiephoft.- (249)468-3420 Fax: (209)454-0138 Web: www.sj9nu.oVehd <br /> SEPTAGE CLEANER'S REPORT <br /> Company Name: UNITED SITE SERVICES Report for the month of MAY year 2091 <br /> Company Address: 360 N. iDTH ST SACRAMENTO 95$74 Signature: <br /> o StreetadclMss City Zip Code <br /> All information subrnkWdi must be completed,accurate and legible <br /> (R)RESIDENTIAL <br /> DATE NAME OF BUSINESS OR ADDRESS WHERE WORK WAS DONE GALLONS (G)GREASE TRAP NAME OF TREATIVI ENT <br /> PUMPED PROPERTY OWNER PLEASE INCLUDE STREET#,DIRECTION, STREET NAME AND CITY PUMPED (C)CHEMICAL FACILITY <br /> 5/1612011 CDMCAST 838 E PARK ST aTy STOCKTON 14 C OMI THAMES WATER <br /> ELKINS ELECTRIC ESCALON BELOOTA ciTr FARMINGTON 34 C OMI THAMES WATER <br /> RYDER TRANSPORTATION 4241 GIBRALTER COURT Orr STOCKTON 150 C OMI THAMES WATER <br /> ALIAWNLAAH 1976 E MARIPOSA RD ciTr STOCKTON 20 C OMI THAMES WATER <br /> V AND A L4GOR10 1W MC DONALD RD ciTY STOCKTON 10 C OMI THAMES WATER <br /> BIGHAM TAYLOR ROOFING 4199 GISRALTER CT ciTr STOCKTON 15 C OMI THAMES WATER <br /> Crry <br /> CFPy <br /> va CnY <br /> w <br /> c� OnY <br /> My - <br /> w cm <br /> Cfrr <br /> w <br /> - cm <br /> CID cm <br /> Crry <br /> '— Crrr <br /> c rrr <br /> cITY <br /> c rrr <br /> .o <br /> c rrr <br /> C rrY <br /> T Orr <br /> CITY <br /> crcr <br /> crry <br /> cm <br /> crry <br /> cRv <br /> cm <br /> _. CITY <br />