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SAN JOAQUIN COUNTY <br /> ENwRONmENTAL HEALTH DEPAR'IMENFT Return this form by the . <br /> 600 East Main Street,Stockton,CA 95202.302 f2d'of each month <br /> ^' rdsphonn:(209)4SB-3420 Fsx:(209)464.013$We& .orgfehd <br /> °- SEPclmjgv\ <br /> AGE C1,EANER'S REPpRT <br /> Company Name: 1 J-- h V Ino r nw\Lov�j Report for the month of: yes, t <br /> CompanyAddrasa. Q-at1 I ,.t?o�� r1YNl(�l,�ow[:il �4i�rL G. `_� � ignature: <br /> GtHWAddrm Oh by Cadf i <br /> All Informstlon submitted must b• complete,accpr• • and Is Ibla <br /> DATE NAM OF QUSINESS OR ADDRIN"WHERE WORK WAS DOME GALLON lw smineirnLL NAME OF THEATRWAt <br /> PVtpols.•eTlw EO PROt'FRTYO�IVNER PLEASE INCLUDE !TR!!T /, DIRECTION. ITIIRET NAME AND CITY P FACUTY <br /> G=Gj i <br /> r 3iz3/!v <br /> COY <br /> C CAY <br /> ,n <br /> L <br /> Cw <br /> OJ <br /> CAY <br /> {n <br /> C <br /> .,. <br /> D_ <br /> E CIN <br /> 3 <br /> 71 - <br /> O_ <br /> C <br /> 4J _ <br /> E <br /> Cky <br /> 7 <br /> C g <br /> 1LI <br /> CRY <br /> R <br /> In <br /> ¢ EHD 42-44 SEPTAGE CLEAmRS REPORT <br /> 1Niro7 <br /> 1 <br /> N <br /> N <br /> L <br /> M <br /> r- <br />