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I: ry <br /> San Joaquin County <br /> r , Environmental Health Department Rewrn this form by <br /> 304 East Web er Avenue, 3rd Floor,Stockton,CA 952D2-2708 the 121h of each month <br /> Telephana; (209)468-3420 Fax: (2139)464-0138 VV&b: www,sjgov.org/ehd <br /> SEPTAGE CLEANER'S REPORT <br /> Company Narne: UNITED SITE SERVICES Reportforthe month of: MAY year2411 <br /> Company Address: 364 N. 10TH ST SACRAMENTO 95814 Signature; <br /> o Street address City Zip Code - 1 <br /> All information submitted must be cornpleted,accurate and legible <br /> {R)RESIDENTIAL <br /> DATE NAME OF BUSINESS OR ADDRESS WHERE WORK WAS DONE GALLONS (G)GREASE TRAP NAME OF TREATMENT <br /> PUMPED PROPERTY OWNER PLEASE INCLUDE STREET#,DIRECTION,STREET NAME AND CITY PUMPED (C)CHEMICAL FACILITY <br /> 5!20/2131 1 MORADA FARMING 500 N JACK TONE RD crrY LINDEN 400 C OMI THAMES WATER <br /> STAN'S COUNTRY NURSERY 1.64W S PRESCOTTRD cm MANTECA 10 C OMI THAMES WATER <br /> SPG SOLAR 6312 BECKWITH RD cITY MODESTO 30 C OMI THAMES WATER <br /> SUNDT CONSTRUCTION 11374 N LOWER SACRAMENTO RD ciTY LODI 210 C OMI THAMES WATER <br /> LODI IRRIGATION 1341 E ARMSTRONG ROAD crrr LODI 70 C OMI THAMES WATER <br /> CUPERTINO ELECTRIC INC 10555 N THORNTON RD cirY LODI 15 C OMI THAMES WATER <br /> CUPERTINO ELECTRIC INC 9550 RONALD E MCNAIR WAY crry LODI 30 C OMI THAMES WATER . <br /> BIG E SELF STORAGE 4241 NEWTON ROAD ciry STOCKTON 10 C DMI THAMES WATER <br /> NISSON FARMS INC RIO BLANCO RD ciTv STOCKTON 10 C OMI THAMES WATER <br /> w WATKIN AND BORTOLUSSI 3180 CALAVERAS ST CITY STOCKTON 15 C OMI THAMES WATER <br /> PRESTON PIPELINES NEW TRACT RD @ OF-AD END ciTY STOCKTON 170 C OMI THAMES WATER <br /> BROWARD BUILDERS 411 S STANISLAUS cirY STOCKTON 14 C OMI THAMES WATER <br /> L <br /> MARCOR ENVIRONMETAL 800 W CHURCH ST aTr STOCKTON 25 C OMI THAMES WATER <br /> ROSA MONDRAGON RIO BLANCO RD any STOCKTON 30 C OMI THAMES WATER <br /> F AND H CONSTRUCTION 2640 E LAFAYETTE ST ciTv STOCKTON 15 C OMI THAMES WATER <br /> o CUPERTINO ELECTRIC INC 10555 N THORNTON RD ciTv STOCKTON 15 C OMI THAMES WATER <br /> KB HOME-SOUTH HOLMAN ROAD CITY STOCKTON 60 C OMI THAMES WATER <br /> KB HOME-SOUTH 2711 TWIN BRIDGES LN cay STOCKTON 15 C OMI THAMES WATER <br /> ALL AMERICAN WASTE SERVIC 3828 E MAIN ST Cny STOCKTON 10 C OMI THAMES WATER <br /> HEINZ USA 5900 S JACK70NE RD CrrY STOCKTON 30 C OMI THAMES WATER <br /> WOODSIDE HOMES OF CALIF IIN N LOWER SACRAMENTO RD crrY STOCKTON 45 C OMI THAMES WATER <br /> o KAISER CONSTRUCTION SERVI 7373 WEST LANE CrrY STOCKTON 35 C OMI THAMES WATER I <br /> T CHEROKEE FREIGHT LINES 2383 N WILSON WAY wry STOCKTON 10 C OMI THAMES WATER k <br /> MORADA FARMING 10551 E FAIRCHILD LN CITY STOCKTON 30 C OMI THAMES WATER <br /> r SILICON ROADWAYS 930 ELLEN ST vrY STOCKTON 10 C OMI THAMES WATER <br /> C-4 COLLIGREE FARM MANAGEME HWY 4 crry STOCKTON 105 C OMI THAMES WATER <br /> CHEROKEE FREIGHT LINES 5463 CHEROKEE RD crry STOCKTON 10 C OMI THAMES WATER <br /> � i <br /> HUMBOLDT CREAMERY 1270 SHAW RD crsY STOCKTON 10 C OMI THAMES WATER <br /> BRUNS BELMONT CON STRUICTI 2300E DON PEDRO RD Cm CERES 15 C OMI THAMES WATER I <br /> RYDER TRANSPORTATION 4201 GIBRALTER COURT crTY STOCKTON 150 C OMI THAMES WATER <br /> SIERRA BUILDING PRODUCTS 4202 GIBRALTAR CT crry STOCKTON 15 C OMI THAMES WATER <br />