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San Joaquin County <br /> Environmental Health Department fttum this form by <br /> ' 304 East Web er Avenue,3rd Flow,Stockton, CA 95202-2708 the 12th of each month <br /> Telephone: (249)468-3420 Fax: $209)464-0138 Web: www.sj9av,org)ehd <br /> SEPTAGE CLEANER'S REPORT <br /> Company Name: r UNITED SITE SERVICES Report far the month of: JUNE year 2011 . <br /> Company Address: 360 N. 1DTH ST SACRAMENTO 95814 Signature: <br /> I <br /> Stree(address City ,Zip Code o <br /> All information submitted must be completed,accurate and legible <br /> (R)RESIDENTIAL <br /> DATE NAME OF BUSINESS OR ADDRESS WHERE WORK WAS DONE GALLONS (G)GREASETRAP NAME OF TREATMENT <br /> PUMPED PROPERTY OWNER PLEASE INCLUDE STREET#,DIRECTION, STREET NAME AND CITY PUMPED (C)CHEMICAL FACILITY <br /> 6123$2011 UNION PACIFIC RAILROAD N MILLS AVE+TURNER RD errr LODI 15 C OMI THAMES WATER m <br /> M AND R PACKING COMPANY E ARMSTRONG RD AND 99 crrr LODI 60 C OMI THAM ES WATER Q <br /> CABEEIZ CONSTRUCTION 12343 N MUNDY LN Cm LOCI 10 C OMI THAMES WATER <br /> JOSE GU2 AN 14925 E TOKAY COLONY RD ofry LODI 10 C OMI THAMES WATER m <br /> bt AND R PACKING COMPANY 5603 E HOGAN LANE cirY LODI 35 C OMI THAMES WATER <br /> DIEDE CONSTRUCTION 3 S PACIFIC AVE crry LODI is C OMI THAMES WATER <br /> DIEDE CONSTRUCTION 945 S HAM LANE cmr LOCI 15 C OMI THAMES WATER <br /> r7 <br /> GEORGE REED INC 1197 E ARMSTRONG RD errr LOCI 15 C OMi THAMES WATER m <br /> KINGDOMAIRPORT 12145 N DEVRIES RD crrr LODI 30 C OMI THAMES WATER <br /> BRINDERSON CONSTRUCTION 2941 NAVY DR CiTy STOCKTON 45 C OMI THAMES WATER <br /> VARA NORTH AMERICA 212 LUCE AVE ciTY STOCKTON 10 C OMI THAMES WATER <br /> FAND H CONSTRUCTION 603 SAN JUAN AVENUE ciTv STOCKTON 30 C OMI THAMES WATER <br /> DAN DRAKE ENTERPRISES LLC E LIVE OAK RC crTr STOCKTON 15 C OMI THAMES WATER <br /> MICHAEL CORRADI 3748 SURGE RD ciTv STOCKTON 45 C OMI THAMES WATER <br /> INDUSTRIAL RAILWAYS CO PORT23 RD ciTr STOCKTON 10 C OMI THAMES WATER <br /> INDUSTRIAL RAILWAYS CO ' PORT A RID X PORT RD 5TH ST cm STOCKTON 10 C OMI THAMES WATER <br /> MATRIX SERVICES 2941 NAVY DR cmr STOCKTON 15 C OMI THAMES WATER <br /> PACIFIC TITAN 35D5 NAW DR crrr STOCKTON 15 C OMI THAMES WATER <br /> A,L GILBERT 3028 NAW DR Cmr STOCKTON 25 C OMI THAMES WATER <br /> PORT OF STOCKTON ROUGH AND READY ISLAND CIrY STOCKTON 75 C OMI THAMES WATER <br /> MARINE EXPRESS NAVY ST Cmr STOCKTON 10 C OMI THAMES WATER <br /> E SAY MUD-AQUADUCT SECTI HWY 8818 MILE RD crrY STOCKTON . 10 C OMI THAMES WATER o <br /> LAROCHE INDUSTRIES (DELI 2323 PORT RD G crry STOCKTON 150 C OMI THAMES WATER <br /> S T SERVICES {T) 2941 NAVY DR crrr STOCKTON 15 C OMI THAMES WATER <br /> S TSERVICES (T) 3505 NAVY OR Crrr STOCKTON 15 C OMI THAMES WATER <br /> PORT OF STOCKTON (T) ELLSSERG DR crrY STOCKTON 15 C OMI THAMES WATER <br /> PORT OF STOCKTON (T) @ DOCKS 14+11 ciry STOCKTON 30 C OMI THAMES WATER <br /> PORT OF STOCKTON (T) WAREHOUSE4 tiro STOCKTON 15 C OMI THAMES WATER ^; <br /> SW ALLEN CONSTRUCTION INC26135 TOWER RD aTv THORNTON 25 C OMI THAMES WATER ti <br /> RAMOS OIL-W SAC WALNUT GROVE RD ciTv THORNTON 10 C OMI THAMES WATER <br /> DAVID ISHIZUKA 11400 WALNUT GROVE RD arr THORNTON 15 C OMI THAMES WATER <br />