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: S. , "VIII' San Joaquin.County <br /> ' Environmental Health Department Return this form by <br /> 304 East Web erAvenne,3rd Floor,Stockton,CA 95202-2708 She 12th ofeact month <br /> Telephone; (209)4683420 Fax: {209}464-0138 Web:www.sjgGv.Orglehd <br /> SEPTAGE CLEANER'S REPORT <br /> a <br /> Company Name: UNITED SITE SERVICES Report for the month of JUNE year 2011 <br /> Company Address: 364 N, 10TH ST SACRAMENTO 95814 Signature: <br /> Street address City Lip Code <br /> All information submitted must be completed,accurate and legible <br /> (R)RESIDENTIAL <br /> DATE NAME OF BUSINESS OR ADDRESS WHERE WORK WAS DCNE GALLONS (G)GREASE TRAP NAME OF TREATMENT <br /> c <br /> PUMPED PROPERTY OWNER PLEASE INCLUDE STREET#,DIRECTION, STREET NAME AND CITY PUMPED (C)CHEMICAL FACILITY <br /> 6f116l201 t MARKMENDES 12 W LORENZEN RD CITY TRACY 45 C OMI THAMES WATER —{ <br /> CONTRA COSTA ELECTRIC 14950 W SC HU LTE RD CITY TRACY 16 C OMI THAMES WATER o <br /> PEDRO LOPEZ W BYRON X W GRANT LINE CITY TRACY 10 C OMI THAMES WATER <br /> PERFORMANCE MECHANICAL 4114950 W SCHULTE RD a1v TRACY 50 C OMI THAMES WATER —A <br /> m <br /> MILCO GENERAL CONSTRUCTI 26'f 0 S TRACY BLVD STE 150 cmr TRACY 1S C OMf THAMES WATER <br /> CEMEX 30350 S TRACY BLVD effy TRACY 65 C OMt THAMES WATER <br /> R POMBO RANCH II M S TRACY BLVD CRY TRACY 14 C OMI THAMES WATER <br /> C rry m <br /> em <br /> on-y <br /> crrY <br /> Cmr <br /> Crrr <br /> Crrr <br /> CITY <br /> CITY <br /> CITY <br /> CITY <br /> CITY <br /> CITY <br /> CITY <br /> CITY o <br /> crTY <br /> Cny <br /> C rrY <br /> Crrr <br /> CrrY <br /> CRY <br /> GrTY ti <br /> Cr]Y <br /> CITY <br />