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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL f IEALTFI DEPARTMENT Return this form by ffYc <br /> 600 East Main Street, Stockton, CA 952D2-3029 12th of each mOrAh <br /> 4 TeG pAorf9 (209)46&342D Fax:(209 Stockton, <br /> 464-0138 Web:wv w.sjgov cr9 <br /> a .1d�' <br /> SEPTAGE CLEANER'S REPORT <br /> Repc N for the MoTdh Of: year <br /> Company Name: _ - <br /> It) J`) � , I -)C' 1 -) S��,>,.�' <br /> Company Address:. / - - <br /> 1 AdSwasc WIT , <br /> All inform tlon submitted most be Coln late, 2"M18tu and IS lble GALLONS (R) REsIocural N ALAE OF TREATMENT <br /> DATE NAME OF BUSIME"OR ADDRESS WHERE WORK WAS DONE PIWED (G} C Ase TRAE FAc]LITY <br /> F PUMPED PROPERTY OyMNER ELEA Sp IMC LUSE STREET V 01RECTIo N, STREET MANE AMB CITY OIE11HA <br /> J <br /> W c — <br /> M <br /> J _ <br /> Q <br /> F <br /> W <br /> Z <br /> O <br /> M <br /> T <br /> w ( - <br /> 3 - <br /> c <br /> i <br /> Ca � <br /> I ai HEAL H <br /> m PE ,MITISERVIC <br /> c <br /> m <br /> N <br /> C <br /> m <br /> r <br /> m <br /> m <br /> N <br /> m <br /> N SEPTAGE CIEArEr6 REPORT <br /> EAD ilOW <br /> 104w <br />