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r- = San Joaquin County <br /> 4~� <br /> Environmental Health Department Ream this form by <br /> A I ' 304 East Web er Avenue,3rd Floor,Stockton,CA 95202-2706 <br /> Fthe 121h of each month <br /> A <br /> is°Y�pl <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> SEPTAGE CLEANER'S REPORT <br /> Company Name: UNITED SITE SERVICES Report for the month of. JUNE year 2011 <br /> Company Address: 360 N. 10TH ST SACRAMENTO 95814 Signature: m <br /> Streetaddress city Zip Gude <br /> i All irfi nmation submitted must be completed,accurafe and legible <br /> (R)RESIDENTIAL <br /> DATE NAME OF BUSINESS OR ADDRESSWHERE 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 FACIL[TY <br /> 61912011 KNIFE RIMER CONSTRUCTION COURT DR ctrr TRACY 15 C OMI THAMES WATER <br /> KNIFE RIVER CONSTRUCTION KAVANAGH AVE X CORRAL HOLLOW crrr TRACY 15 C OMI TRAIMES WATER <br /> HOT LINE CONSTRUCTION 14950 W SCHULTE RD crrr TRACY 15 C OMI THANES WATER C/:), <br /> MARK MEN DES 12 W LORENZEN RD crrY TRACY 45 C OMI THAMES WATER. --A <br /> CONTRA COSTA ELECTRIC 14950 W SCHULTE RD ciry TRACY 15 C OMI THAMES WATER <br /> cn <br /> PEDRO LOPEZ W BYRON X W GRANT LINE em TRACY 10 C OMI THAMES WATER <br /> CEMEX 30350 S TRACY BLVD crTY TRACY 65 C OMI THAMES WATER <br /> R POM BO RANCH II S TRACY BLVD crrY TRACY 10 C OMI THAMES WATER m <br /> v� <br /> CITY <br /> Cjw <br /> CITY <br />! CITY <br /> CITY <br /> CITY <br /> clrr, <br /> CITY <br /> C%Tr <br /> CRY <br /> CIT <br /> C rrY <br /> CRY <br /> z <br /> i CRY o <br /> Crry <br /> CITY lTl <br /> �6 <br /> Cm <br /> CITY <br /> i� CITY <br /> CITY t� <br /> CITY \ <br /> CITY <br /> CITY <br />