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4!!!+ <br /> San Joaquin County <br />` Environmental Health Department <br /> Return this form by e <br /> 304 East Web er Avenue,3rd Floor,Stockton,CA 95202-2708 <br /> the 12th of each moflth -- <br /> Taiephone: (209)468-3120 Pax: (209)46"138 Web: www,sjgov.org/ehd <br /> E _ <br /> SEPTAGE CLEANER'S REPORT <br />� q <br /> Company Name: UNITED SITE SERVICES Report for the month of: JUNE year 2011 1 <br /> Company Address: 360 N. 10TH ST SACRAMENTO 95814 Signature: <br /> Street address City Zip Code <br /> i All information submitted must be completed,accurate and legible <br /> (R) RES f 0 ENTiAL <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 /> 611/2011 SJ VALLEY AG SERVICES INC 11566 E HWY 26 carr STOCKTON 40 CTOMI THAMES WAER <br /> QUALITY PACKING&SHIPPING 6880 N NAVONE RD crry STOCKTON 15 C OMI THAMES WATER o <br /> OLIVER AND COMPANY 719 E HARDING WAY crry STOCKTON 15 C OM[THAMES WATER <br /> DEVCON CONSTRUCTION LARRY HELLER crry STOCKTON 185 G OMI THAMES WATER <br />! ERNESTO MADERA 6407 KAISER RD orrY STOCKTON 20 C OMI THAMES WATER <br /> LUA FARM LABOR PEZZI RD crrY STOCKTON 30 C OMI THAMES WATER <br /> ROSA MONDRAGON JACKTONE RD crrr STOCKTON 15 C OMI THAMES WATER <br /> ACE TOMATO CO INC. MARIPOSA RD crry STOCKTON 30 C OMI THAMES WATER T <br /> GEORGE REED LNC HARNEY LANE X JACK TONE RD crTy STOCKTON 15 G OMI THAMES WATER <br /> RODOLFO BAUTISTA 5505 E MAIN ST crTY STOCKTON 30 G OMI THAMES WATER <br /> M AND R PACKING COMPANY 11051 E BAKER DRY STOCKTON 60 C OMI THAMES WATER <br /> MELTI FARMS 222 PATRICK AVE cm STOCKTON 240 C OMI THAMES WATER <br /> i YURI CAMPOS HWY 26 X JACK TONE= CITY STOCKTON 45 C OMI THAMES WATER <br /> GREEN FUTURE LANDSCAPE 4844 W MORADA LN crrY STOCKTON 10 C OMI THAMES WATER <br /> MAND R PACKING COMPANY NALPINE RD ciTY STOCKTON 30 C OMI THAMES WATER <br /> ROSA MONDRAGON 7505 N ASHLEY LANE ca y STOCKTON 25 C OMI THAMES WATER <br /> IRIS VERDUZCO 1541 ROSELAWN AVE crry STOCKTON 10 C OMI THAMES WATER <br /> JOSE MANUEL EQUILUS 7240 E FOPPIANO LN circ STOCKTON 45 C OMI THAMES WATER <br /> ELIZEO GARCIA 2377 N ALPINE RD ciTr STOCKTON 10 C OM THAMES WATER <br /> LAGORIO FARMS MARIPOSA RD carr STOCKTON 10 C OMI THAMES WATER <br /> DI BELLA FARM LABOR 6732 WATERLOO RD clTv STOCKTON 194 C OM1 THAMES WATER <br /> SJ VALLEY AG SERVICES INC 12585 COMSTOCK RD crry STOCKTON 12D C OMI THAMES WATER o <br /> GRIMAUD FARMS OF CALTORN 12150 ADA AVE cn-y STOCKTON 14 C 0 M THAMES WATER <br /> RICHARD RODRIGUEZ 5500 N BOGGIANO RD crrr STOCKTON 14 C OMI THAMES WATER ter, <br /> COMCAST 838 E PARK ST crry STOCKTON 10 C OMI THAMES WATER <br /> M AND R PACKING COMPANY SD30 E WATERLOO crry STOCKTON, 15 C OMI THAMES WATER <br /> ELKINS ELECTRIC ESCALON BELOOTA crry FARMINGTON 31) C OMI THAMES WATER <br /> RYDER TRANSPORTATION 4201 GIBRALTER COURT Cm STOCKTON 150 C OMI THAMES WATER <br /> ALI AWNLAAH 1976 E MARIPOSA RD crry STOCKTON 20 C OMI THAMES WATER <br /> VANDALAGORfO WMCDONALDRD crry STOCKTON 10 C OMI THAMESE <br /> R <br /> DI BELLA FARM LABOR 6732 WATERLOO RD crTv STOCKTON 210 C OMI THAM1 SR <br /> I <br />