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tlr- SANJOAt1UIN COUNTY <br /> 17NWRONML•NTAL IU:ALTH DEPAlt1TtLNT Return this form by <br /> f r 304 Fast Weber 3` <br /> Avenue. 'Floor,Stockton,CA 95202-2703 the 1Z,h ur each ln4wah <br /> VD `\ Te[ephorlr.:(209)466-3420 FaL(209)464-0138 Web: wwtiv.cjgo•;.orgichd <br /> Ln LJ \ SEPTAGE CLEANER'S RE)/ORT _- <br /> 2 / <br /> Compfln)'Name: C 8a C Portable Toilets, Inc. Report for them tth of �� year <br /> P-O- BOX 1523 <br /> Company Address: <br /> Riverbank, CA 95367 Zip T, <br /> All Jnforra lioa 3uUmittc4 must br. corn Ict.rpccuratc and Ie iblc <br /> ADDRESS WHERE WORK WAS DOBE GALLONS (R) RZStDEMIAL <br /> DATE NAME OF BUSLhTM OR (G) cR�sraAr RAl1E OPTRLLATI��T <br /> PDWSD <br /> �rpgD PROPRRINONVrM )LEASE INCLOuC STREET a, DIRECTION. STREET NAME AKD CITY C) CHEMtCAC FACfG17it <br /> O Q Q ��jiL �, C;g. t <br /> Ld <br /> mY e D .ciw <br /> m z - I <br /> 9— - <br /> N ly p <br /> �J �t�� city IZ _ <br /> Ld <br /> I _InX53 b (� .. ia Lo- <br /> cky <br /> CY, <br /> qty <br /> --- - - C71 <br /> . <br /> O m cur <br /> +3 <br /> L <br /> O m <br /> n 01 <br /> u <br /> U o <br /> C;tY C-4 <br /> r-4-+ <br /> CNIY <br /> O W <br /> . City <br /> Ln r <br /> - Rl LIID 42-a: <br /> a� <br /> }1r 1(11(111 — <br /> a <br /> O <br /> +-) <br /> U <br /> O <br />