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San Joaquin County Environmental Health Deparbnent Return this form by 344 East Web er Avenue,3rd Floor,Stockton,CA 95202-2748 the 12th ct each month TeieAfrorre: (209)466-3420 Fax- (209)464-0138 Web: wxnv.sjgov.orglehd SEPTAGE CLEANER'S REPORT 0 Company Name: UNITED SITE SERVICES Report for the month of: JUNE year 2011 Company Address: 360 N. 10TH ST SACRAMENTO 95814 Signature: m StreO address City Zip Code o --o All fnfnrrnation submitted must be completed, accurate and legible (R)RESIDENTIAL DATE NAME OF BUSINESS OR ADDRESS WHERE WORK WAS DONE GALLONS (G)GREASE TRAP NAME OF TREATMENT PUMPED PROPERTY OWNER PLEASE INCLUDE STREET#,DIRECTION,STREET NAMEAND CITY PUMPED (C)CHEMICAL FACILITY 6127aD1 t LODI GAS STORAGE 858$E JAHANT RD CITY ACAMPO 15 C OMI THAMES WATER m ALEJANDRO RUIZ SOTO BORDEN RD X ELLI OT RD CITY CLEMENTS 30 C OMI THAMES WATER o DEVIL MOUNTAIN GROWERS 16950 LIBERTY RD CITY CLEMENTS f0 C OMI THAMES WATER COLLIGREE FARM MANAGEMEP 23201 N RAY RD carr LODI 150 C OMI THAMES WATER MORADA FARMING 500 N JACK TONE RD CITY LINDEN f80 C OMI THAMES WATER CDM 11373 N LOWER SACRAMENTO RD CITY LODI 900 C OMI THAMES WATER MOUNTAIN HOUSE LITTLE LEA ESCUELA DR cmr MOUNTAIN HOUSE 10 C DMI THAMES WATER MOUNTAIN HOUSE LITTLE LEA HERITAGE DR cITY MOUNTAIN HOUSE 10 C DMI THAMES WATER m MOUNTAIN HOUSE LITTLE LEA ESPLANADE CITY MOUNTAIN HOUSE 10 C OMI THAMES WATER c.a D R HORTON-BAY AREA 415 W CU PERTINO AVE clrr MOUNTAIN HOUSE 50 C OMI THAMES WATER D R HORTON-BAY AREA 415 W CUPERTINO AVE CITY MOUNTAIN HOUSE 75 C OMI THAMES WATER MERITAGE HOMES ANDALUSIA WY+VIOLA ST CITY MOUNTAIN HOUSE 35 C OMI THAMES WATER MERITAGE HOMES VIOLA+QUESTA TRAIL crrr MOUNTAIN HOUSE 15 C OMI THAMES WATER SHEA HOMES ANTIGUA TERRACE crrY MOUNTAIN HOUSE 35 C OMI THAMES WATER $HEA HOMES OF NORTHERN C BONA VENTURE CITY MOUNTAIN HOUSE 40 C OMI THAMES WATER MOUNTAIN HOUSE Lf-rTLE LEA PIEDMONT DR c€rY MOUNTAIN HOUSE 10 C OMI THAMES WATER SHIMM ICK CONSTRUCTION 17603 W GRANTLINE RD crrr TRACY 45 C OMI THAMES WATER D R HORTON-BAY AREA 654 GLENDORA AVE crrY TRACY 25 C OM1 THAMES WATER DAN R.COSTA INC FRENCH CAMP RD crrY ESCALON 30 C OMi THAMES WATER ADVANCED DISABILITY MANAGI 20258 SANTA FE RD CrrY ESCALON 15 C OMI THAM ES.WATER MARTHA TAPIA 25505 MAHON RD CrrY ESCALON 10 C OMI THAMES WATER COLD STORAGE MFG. INC 15888 MCKINLEY AVE crrY LATHROP 10 C OMI THAMES WATER o WILLIAM LYON HOMES-SAY AR 743 RED BARN PL r rrr LATHROP 15 C OMI THAMES WATER MHP BUILDERS INC 396 COLONIAL TR(NEW STREET) CITY LATHROP 45 C OML THAMES WATER WILLIAM LYON HOMES-SAY AIR 716 HOMESTEAD AVE orrY LATHROP 35 C OMI THAMES WATER D R HORTON-SAC DIVISION 15955 CRESENT PARK CfR erre LATHROP 25 C OMI THAMES WATER SSI SUPER STORE INDUSTRIES 15888 MCKINLEY AVENUE crrr LATHROP 75 C OMI THAMES WATER MHP BUILDERS INC FORTY MINER TRAIL crtY LATHROP 30 C OMI THAMES WATER DRYCO CONSTRUCTION INC 700 DARCY PARKWAY CrrY LATHROP 10 C OMI THAMES WATER K L L M 16200 MCKINLEY AVE cm LATHROP 10 C OMI THAMES WATER VS SECURrTY ASSOCIATES 1701 DARCY PKWY CITY LATHROP 15 C OMI THAMES WATER