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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 12" 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 th o of: JUNE year 2022 <br /> Company Address. <br /> 20504 S. 99 FRONTAGE RD. RIPON 95366 Signature: 917V <br /> Street Address city Zip Code <br /> All information submitted must be complete, accurate, and legible <br /> GALLONS (R) RESIDENTIAL NAME OF TREATMENT <br /> DATE NAME OF BUSINESS OR ADDRESS WHERE WORK WAS DONE <br /> CITY (G) GREASE TRAP FACILITY <br /> PUMPED PROPERTY OWNER PUMPED <br /> PLEASE INCLUDE STREET p, DIRECTION, STREET NAME AND C CHEMICAL <br /> 6122122 CHEVRON 7501 W. 11TH ST. cityTRACY 2500 R TRACY WQCF <br /> 6128122 CITY OF TRACY AIRPORT 5749 S. TRACY BLVD. city TRACY 2500 R TRACY WQCF <br /> 6130122 CHEVRON 7501 W. 11TH ST. coy TRACY 2500 R TRACY WQCF <br /> city-- <br /> city <br /> city <br /> city <br /> city <br /> Citv <br /> city <br /> Citv <br /> Citv <br /> city <br /> city <br /> City <br /> ci <br /> city <br /> City <br /> city <br /> SEPTAGE CLEANERS REPORT <br /> EHD 42-04 <br /> 1014/07 <br />