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{r;, San Joaquin County _ f Environmental Health Department Return this form by 304 East Web erAve nue,3rd Floor,Stockton, CA 95202-2708 the 12th ofsach month Telephone: {209}468-3420 Fax: (209)464-0138 Web: wrJw.sjgov.orglehd SEPTAGE CLEANER'S REPORT ,l_, Company Name: UNITED SITE SERVICES Report for the month of JUNE year 2011 Company Address: 360 N. 10TH ST SACRAMENTO 96814 Signature: co Street address City Zip Code Q All information submitted mus#be completed,accurate and legible {R)RESIDENTIAL DATE NAME OF BUSINESS OR ADDRESS WHERE WORK WAS CONE GALLONS (G) GREASE TRAP NAME OF TREATMENT PUMPED PROPERTY OWNER PLEASE INCLUDE STREET#,DIRECTION, STREET NAME AND CITY PUMPED (C)CHEMICAL FACILITY 6120!2011 LODI GAS STORAGE 8588 E JAHANT RD crry ACAMPO 15 G OMI THAMES MATER —r DEVIL MOUNTAIN GROWERS 16950 LIBERTY RD crry CLEMENTS 10 C OMI THAMES WATER o COLLIGREE FARM MANAGEMEIS 23201 N RAY RD carr LODI 150 C OMI THAMES WATER MORADA FARMING 500 N JACK TONE RD CITY LINDEN 470 C OMI THAMES WATER m CDM 11373 N LOWER SACRAMENTO RD ciTr LODI 900 C OMI THAMES WATER c„ M AND R PACKING COMPANY N ALPINE RD carr STOCKT•ON 105 C OMI THAMES WATER M AND R PACKING COMPANY 7515 PEZZI RD crry STOCKTON 50 C OMI THAMES WATER MOUNTAIN HOUSE LITTLE LEA .ESCUELA DR cnY MOUNTAIN HOUSE 14 C OMI THAMES WATER MOUNTAIN HOUSE LITTLE LEA HERITAGE DR crnr MOUNTAIN HOUSE 10 C OMI THAMES WATER MOUNTAIN HOUSE LITTLE LEAC ESPLANADE cnY MOUNTAIN HOUSE 10 C OMI THAMES WATER D R HORTON-BAY AREA 415 W CUPEFMNO AVE orrr MOUNTAIN HOUSE 50 C OMI THAMES WATER D R HORTON-BAY AREA 415 W CUPERTINO AVE crry MOUNTAIN HOUSE 15 C OMI THAMES WATER MERITAGE HOMES ANDALUSIA WY+VIOLA ST crrY MOUNTAIN HOUSE 35 C OMI THAMES WATER MERITAGE HOMES VIOLA+ QUESTA TRAIL crry MOUNTAIN HOUSE 15 O OMI THAMES WATER SHEA HOMES ANTIGUA TERRACE cm MOUNTAIN HOUSE 35 C OMI THAMES WATER SHEA HOMES OF NORTHERN C BONA VENTURE CITY MOUNTAIN HOUSE 50 C OW THAMES WATER MOUNTAIN HOUSE LITTLE LEA PIEDMONT DR crry MOUNTIAN HOUSE 10 C OMI THAMES WATER SHIMMICK CONSTRUCTION 17641 W GRANTLINE RD ciTr TRACY 45 C OMI THAMES WATER D R HORTON-BAY AREA 654 GLENDORA AVE crry TRACY 25 C OMI THAMES WATER DAN R COSTA INC WAGNER RD X MELLO RD ciTY ESCALON 30 C OMI THAMES WATER ADVANCED DISABILITY MANAG 20268 SANTA FE RD ciTr ESCALON 15 C OMI THAMES WATER MARTHATAPIA 25505 MAHON RD CITY ESCALON 10 C OMI THAMES WATER o JUAN BECERRA 17020 HENRY RD ciTr ESCALON 10 G OMI THAMES WATER —� WILLIAM LYON HOMES-SAY AR 743 RED BARN PL ctTr LATHROP 15 C OMI THAMES WATER �n MHP BUILDERS INC 3915 COLONIAL TR(NEW STREET) crrr LATHROP 30 C OMI THAMES WATER �o WILLIAM LYON HOMES-BAY AR 716 HOMESTEAD AVE Crry LATHROP 35 C OMI THAMES WATER 0 R HORTON-SAC DIVISION 15955 CRES ENT PARK OR crry LATHROP 25 C 0M THAMES WATER MHP BUILDERS INC 418 COLONLAL TRAIL crry LATHROP 15 C OMI THAMES WATER SSI SUPER STORE INDUSTRIEZ 16688 MCKINLEYAVENUE cnY LATHROP 75 C OMI THAMES WATER V MHP BUILDERS INC FORTY MINER TRAIL crry LATHROP 30 C OMI THAMES WATER CREEKSIDE COMMERCIAL BLD 17000 8 HARLAN RD crTY LATHROP 10 C OMI THAMES WATER