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SAID JOAQUIN COUNT-%' <br /> q- ENv[RONmom-AL KE LTFTE DfipARTlvfEui- Return this form by f <br /> 104 RaM Weber Avenue,3r4 Floor, Stockton,CA 95202-270$ f.he 12ie of each mouth <br /> Telephanc:(209)468-3420 Fax:(209)464-013A Web:www.sjgor.orglchd <br /> SEPTAGF CLE'ANER'S REPORT <br /> Compan_•Name-, C & C Portable Toilets, Inc. Rcllori for The th year <br /> Company Address: P.O_ Box 1523 - // // <br /> Riverbank, CA 95367 Signature: �i l r�_n ^c� 6�Lcr:j zV <br /> All iniarmxllon sabtnitted musr be turn Ittc occurale and It iblc <br /> DATE NAME OF BUSINESS OR ADDRESS WHERE WORK WAS DONE {R} nesrocrlTztl. � � <br /> '" 2'iJtE[l PItOP$diC)'OlVivHR GALL Q75 11?191 ft43 � <br /> PUMPM [G} c�r�scol <br /> N � PLCRSL IT�C4V[IG STRC FT A, DIRCCTIon, STA cr.7 !7AlHL A1;n CiT1' CI cur col Factt,rrY <br /> m <br /> tY1 . <br /> to <br /> LTJ F s City <br /> 0 <br /> Q <br /> - Cin <br /> / fff-/FFA <br /> ciao "_/t <br /> a. — - — f7 City — — --- <br /> ' ---- <br /> ._ my <br /> cry <br /> ---- —- - - <br /> �4 <br /> WD <br /> -- <br /> LtiD 4744 <br /> 8/30104 <br />