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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Return this form by the <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 12t" of each month <br /> .' Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> SEPTAGE CLEANER'S REPORT <br /> Company Name: WINDMILL SEPTIC Report for the_)rnonth of: JUNE year 2022 <br /> 20504 S. 99 FRONTAGE RD. RIPON 95366 <br /> Company Address: Signature: ( �;z;�� <br /> Street Address city Zip Code <br /> All information submitted must be complete, accurate, and legible <br /> DATE NAME OF BUSINESS OR ADDRESS WHERE WORK WAS DONE GALLONS (R) RESIDENTIAL NAME OF TREATMENT <br /> PUMPED PROPERTY OWNER PUMPED (G) GREASE TRAP FACILITY <br /> PLEASE INCLUDE STREET 9, DIRECTION, STREET NAME AND CITY C CHEMICAL <br /> 612122 CON-FAB 1910 E. LATHROP RD. city LATHROP 2500 R MANTECA WQCF <br /> 612122 HALE CONST. STEWART RD. city LATHROP 1400 R MANTECA WQCF <br /> 613122 HALE CONST. STEWART RD. city LATHROP 2500 R MANTECA WQCF <br /> 617122 DAVID BOERSMA 19125 CALLA DR. City, MANTECA 1400 R MANTECA WQCF <br /> 619122 HALE CONST. STEWART RD. ci LATHROP 2500 R MANTECA WQCF <br /> 619122 BOISE CASCADE 12030 HARLAND RD. city LATHROP 2500 R MANTECA WQCF <br /> 6115122 CON-FAB 1910 E. LATHROP RD. city LATHROP 2500 R MANTECA WQCF <br /> 6115122 HALE CONST. STEWART RD. city LATHROP 1400 R MANTECA WQCF <br /> 6116122 DE JONG BROS 19788 W. HWY 120 ci RIPON 1400 R MANTECA WQCF <br /> 6117122 HALE CONST. STEWART RD. city 2500 R MANTECA WQCF <br /> 6121122 JOE BERGHOST 20263 S. CARROLTON RD city RIPON 2500 R MANTECA WQCF <br /> 6123122 BOISE CASCADE 12030 HARLAND RD. city LATHROP 2500 R MANTECA WQCF <br /> 6124122 HALE CONST. STEWART RD. city LATHROP 1400 R MANTECA WQCF <br /> 6128122 CON-FAB 1910 E. LATHROP RD_ city LATHROP 1400 R MANTECA WQCF <br /> 6130122 BOISE CASCADE 12030 HARLAND RD. city LATHROP 2500 R MANTECA WQCF <br /> 612122 CHEVRON 7501 W. 11TH ST. city TRACY 2500 R TRACY WQCF <br /> 618122 NORMA DIAZ 11545 MT. VIEW RD. city TRACY 2500 R TRACY WQCF <br /> 6116122 CHEVRON 7501 W. 11TH ST. city TRACY 2500 R TRACY WQCF <br /> 6122122 SKYVIEW 5749 S. TRACY BLVD. city TRACY 1600 R TRACY WQCF <br /> EH❑42-04 SEPTAGE GLEANERS REPORT <br /> 1014107 <br />