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SAA'JOAQUIN COLrNIT <br /> C_ F'NViRUNW-NITAI_.[[I_ALTH nEPAR-t'hfriNT Return this farm by <br /> 304 J,asi Webet Avmut,3`d Floor.S`[ocktou,CA 95202-T/08 (Itc 12"`of each mon(h <br /> Tetizphmic;(2119)466-3420 Fal (209)464-01 aH rf cb: wwre,Sjgati'cl(>lc 1 <br /> SFPTAGE C1,11-ANER'S REPORT <br /> Company Name: C & C Portable Toilets, Inc. --- .... Report For the w tkt <br /> P.O. Box 1523 / <br /> Compa>-ryAddress: W Signature: <br /> Riverbank, CA 95367 x;r c az <br /> All InfurinAlion 3y6mitltd must 1st cam fete per.urate mud ft i6ie <br /> OEATMONT{It} t�xslnrtrr�Ae. <br /> llATE FAAlF OF BUSINESS OR ADDRESS NVHFRE WORK WAS DONE GALLONS ?tiAMF t7FTEf <br /> IUI -rsbrlw� <br /> MMTED PROPER'['01VNER FLLASI; Ii�CLZ U4 STRE LT t, i11AE CrlOr, 3SR r.TI NAML ANU CbIV PUMPI I) (C; i'i4u+ac4.L FAC[Lfry <br /> a) Cal <br /> co C'Ey <br /> 9qq21 - <br /> 'A _ <br /> CL <br /> f� _74-- <br /> - <br /> Ca <br /> u - <br /> O — --- <br /> Ln <br /> O o, i- - <br /> O <br /> IL 8110104 <br />