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0 <br /> tr <br /> SAN JOAQUIN COUNTY <br /> .i.° m by the <br /> ENVIRONMENTAL NEALTIi DEPARTMENT Return this for <br /> 600 East Main Street,Stockton,CA 95202-3029 12'h of each month <br /> Telephone:(209)468-3420 Fax:(209)484-0138 Web,www.slgov.orglehrf <br /> SEPTAGE CLEANER'S REPORT <br /> Company Name: 5`Wit'J�-' C7wf-o 'R="' Report for the month of: ,�i.� k year -,10113 <br /> Company Address: —.qZZ$ Ne-uu-j-,,n '_cj _ +oCJs`�gn 2ZQ�-D Signature: <br /> Stmm Aadreas CRY ZP Code <br /> All Information submitted most be complete, accurate and legible <br /> DATE NAME OF BUSINESS OR ADDRESS WHERE WORK WAS DONE GALLONS 19AME OF TREATMENT <br /> PUMPED PROPERTY OWNER PUMPED fol (Mr"e TRAP FACILITY <br /> PLEA5E INCLUDE $7REe1' p, DIAEC7�DN, STREET NAME AND CIrY (ClCNEf1GAL <br /> -CT'� f Ch?n t� "^ -t2—c I r- r,.�,y Ln Loc�f 120o Lod? <br /> O iO L .3`13 00 }�� l 5 ! 1 1 'J GrTl 1 V 2-ooc C7 <br /> M <br /> Shyr7e 0-121 El-K.horn r GR IS-7�K 12oo <br /> 0 1 n cl wd MoEkie. i boo , <br /> J f f fD o rade krJ t Z L4 a <br /> .iv S�T � jN 1200 <br /> Joh <br /> N I 1 J`I + [��?�T� r c,c�• �' f1 r• i !/z V f 2 f{ ' , f 1 <br /> iV <br /> .7- jZ +o../ pY !f G p W�1 L.0- ,e�y-Shi r <br /> j�j/ r,C <br /> Rlf , V * !a• rMI1L ofJ/�}l 1�J/+•�A G/<3Q / yp" <br /> s i /'• 7f J �k� I\r ` ��, <br /> c Q. o Yk- o2w o -ST'!z J1 moo <br /> V 5�j w 2& 5THlV 33 3izh <br /> -- --- <br /> �oi r.cKa r 1 r — N rj,r , . <br /> 3t co, <br /> Sfy,. C; v -W-0 Vqa �� ISNLn If <br /> 12�� <br /> mQ Fr 7 <br /> It <br /> o t f <br /> o . <br /> / C Ln.. <br /> 1CW0i 5x AGE CLEANERS REPORT <br /> . C7 <br /> rJ <br />