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SAN JOAQUINP COUffn' <br /> 4 BNVFR0NMFa,'1AL UIHALTli DEPARTMENT Return this fortis by <br /> m 9 304 Fall Weber Avenuc,3'4 Now. &ockwn,CA 95202-2708 the 12,'of eacb month <br /> Telephone:(209)465-3420 f-'RA-•(209)464-0138 Web:www.sjgov.crglchd <br /> z <br /> SEPTAGE CLEANER'S REPORT <br /> Company Name: C & C Portable Toilets, Inc. Report for the m ch of: <br /> P-O. Box 1523 <br /> Company Address: <br /> Riverbank, CA 95387 Signature: �. <br /> . Ziy Cade <br /> All SnforrnRtion submitted mint b cami3lete pecurAte rud fe ibie <br /> 4 DA-77. FA 65F OF RUSUSTM OR AE►URMS WHERE WORK WAS DONE GALIAAS {RI uxcmrxrrAi <br /> (G} �ar_Ls�iwwr NAME OFTREAThIE?i'1' <br /> I'fJlzfpL+U PROPERTY OWNER Pi.CA5C IFLLODC S?RrET A. V1RECT111N, 5TAEEI NAtoL AND C1'fY l'UMYEp (C) f.lI.MiGt FACiGfTS <br /> N <br /> 1 <br /> co <br /> COT � �� / D�.a-- _ � ��Gil>� � <br /> n <br /> Mi ahk <br /> s Lg - <br /> Nl 1 O �y , _� <br /> - -L -Cet_GG.2:�.. ._.. <br /> ZA <br /> • � • Cin. <br /> a1 � -- --_— ciry -- <br /> M I <br /> df' g� Y�32 l - <br /> a� <br /> U: my <br /> Cih. <br /> co <br /> rA' i:nv <br /> p — ---- - —.. . -- --- — cily - -- - <br /> C C„y -. <br /> IIID 42-114 <br /> [L S{ II!(14 <br /> w <br /> cn , <br />