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lJ <br /> o SAN JOAQUiN COUNTY <br /> EMf1RO��MENTAL FIEAIT-t-1 OEPARTkAENT Return this form by the <br /> LdR 4 600 East Main Street, Stockton, CA 95202-3029 12t° of each rnonfh <br /> ' Tefephorre:(209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.orgfebd <br /> ESEPTAGE CLEANER'S REPORT <br /> Company Name: �vl � �'�I f\j�v`+r'� � V! �\ Report for the Tonth of_\ WC1 Year�) ?i <br /> � / <br /> Company Address: l✓ b 62(2a >/M�, <br /> Seeet Addm&m city Zv c <br /> All information submitted must be coin late, aocnrats and legible <br /> S <br /> DATE NAME OF BUSINESS OR ADDRESS WHERE WORK WAS DOME GALLOWS i� RFsiooatz►t NAAIIE OF TREATMENT <br /> PROPERTY QYMNER FLMPED FACIL.rtY <br /> J PLEASE INCLUDE STREET F, DIRECTION, STREET ►TAME aMn CITY C d <br /> Q <br /> LJ <br /> �Pl(v , wor- Ltriz 'te=a �-j tib_ <br /> i - 41 7� 11'6rLL city 8722 `/ Q, o <br /> S� <br /> T <br /> H <br /> W m <br /> Vl/r v <br /> • C <br /> b C• <br /> L-NVIRONNI ENTAL JEALTH <br /> D UY <br /> v � <br /> City <br /> CAY <br /> D ' <br /> Q <br /> T• <br /> 9 <br /> V <br /> city <br /> 9 _ <br /> cky <br /> V I ' <br /> T <br /> 'J <br /> ~ Eto e2-d4 - _ SEPTAGE CLEA14ERS REPORT <br />