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San Joaquin County <br /> Environmental Health Department Return this to by �— <br /> ': <br /> 304 East Web er Avenue,3rd Floor,Stockton,CA 95202.2708 the 12th of each month <br /> trk Telephone: (209)468-3420 Fax: (209)464-'0138 Web: www.sjgou.orglehd <br /> SEPTAGE CLEANER'S REPORT <br /> a <br /> Company Name: UNITED SITE SERVICES Report for the month of: JUNE year 2411 <br /> Company Address: 360 N. 1 OTH ST SACRAMENTO 95814 Signature: <br /> Street address City TJp Cade <br /> 0 <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)GREASE TRAP NAME OF TREATMENT <br /> PUMPED PROPERTY OWNER PLEASE INCLUDE STREET#,'DIRECTION, STREET NAME AND CITY PUMPED C)CHEMICAL FACILITY <br /> WR <br /> &3012011 SUSAN TIPTON 22275 N TRTHWAY ROAD clrr ACAMPO 10 C OMI THAMES WATER <br /> MORADA FARMING N OAK ST aTY ACAMPO 10 C OMI THAMES WATER <br /> MARK MAYER W PELTIER RD X N RAY RD aTY ACAMPO 15 C OMI THAMES WATER <br /> TOLEDO FARMS 2525 E CAMPO RD ct7r ACAMPO 234 C OMI THAMES WATER <br /> GEORGE REED INC ACAMPO RD LOWER SAC RD orrY ACAMPO 15 C OMI THAMES WATER <br /> C14APPELLTRANSPORT 19555 FRONTAGE RD ciTr ACAMPO 45 C OMI THAMES WATER <br /> AM MARKET 4579 E ACAMPO RD crrr ACAMPO 1'b C DMI THAMES WATER <br /> WILLIAMS CUSTOM:VINEYARD 15375 E PELTIER RD cn-r ACAMPO .10 C OMI THAMES WATER m' <br /> TOM HOFFMAN 1011:2 E WOODS RIDGE RD crrY ACAMPO 30 C 01411 THAMES WATER <br /> MAGNOLIA STABLES 19128 LIBERTY RD Crtv CLEMENTS 15 C OMI THAMES WATER <br /> LINDA L AUPER 21356 E ACAMPO RD crrr CLEMENTS 10 C OMI THAMES WATER <br /> E SAY MUD-AQUADUCT SECTI HWY 88 cn-Y HERALD 15 C 0M THAMES WATER <br /> EARL DECKER 28335 N MACKVILLE ST crrY LOCKEFORD 10 C OMI THAMES WATER <br /> BRUNS BELMONT CONSTRUCTI 19456 N TULLY RD CrrY LOCKEFORD 1'S C OMI THAMES WATER <br /> DIEDE CONSTRUCTION 19456 N TULLY RD crrY LOCKEFORD 15 C 01411 THAMES WATER <br /> COLLI GREE FARM IMANAGEMEF 23201 N RAY RD crrY LODI 150 C OMI THAMES WATER <br /> RESTORATION RESOURCES WOODBRIDGE RD crrY WOODBRIDGE 15 C OMI THAMES WATER <br /> JIM HAWKINS i11 W WILLOW WOOD DR. CrTY WOODBRIDGE 10 C OMI THAMES WATER <br /> MORAOA FARMING 500 NJACK TONE RD crTr LINDEN 190 C OMI THAMES WATER <br /> CDM 11373 N LOWER SACRAMENTO RD clTr LODI 900 C OMI THAMES WATER <br /> MERITAGE HOMES ANDALUSIA WY+VIOLA ST ciTr MOUNTAIN HOUSE 35 C OMI THAMES WATER <br /> MERITAGE HOMES VIOLA+-QUESTA TRAIL crrr MOUNTAIN HOUSE 15 C OMI THAMES WATER o <br /> SHEA HOMES ANTIGUA TERRACE erry MOUNTAIN HOUSE 35 C OMI THAMES WATER <br /> SHEA HOMES OF NORTHERN C BONA VENTURE ciTr MOUNTAIN HOUSE 50 C OMI THAMES WATER <br /> SHEA HOMES OF NORTHERN C 17103 W.BETHANY CIT/ MOUNTAIN HOUSE 150 C OMI THAMES WATER .a <br /> SHIMMICK CONSTRUCTION 17601 W GRANTLINE RD cay TRACY 95 C OMI THAMES WATER T, <br /> D R MORTON-BAY AREA 654 GLENDORA AVE ciTY TRACY 25 C OMI THAMES WATER <br /> RAMOS OIL-W SAC 10830 S HARLAN RD GTY FRENCH CAMP 10 C OMI THAMES WATER <br /> TEICHERT CONSTRUCTION 265 VAN DERVIN PKWY ctrr FRENCH CAMP 10 C OMI THAMES WATER <br /> SIMPSON SANDBLASTING 3112 E LOU ISE AVE crTr LATHROP 15 C DMI THAMES WATER � <br /> PACIFIC TANK CONSTRUCTION 2112 E LOUISE AVE cm LATHROP 15 C OMI THAMES WATER <br />