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r, SAN JOAQUIN COUNT-V <br /> © ENVIRONMEWITAL HEALTH DEPART-hfL-NT Return chis Corm by <br /> N m 304 East Weber Avenue,Std Flog, Stockton,CA 95202-2708 the 12th of each month <br /> Q <br /> w Telephone:(209)469.3420 Fax::Fax::(209)464-0138 Web:www.sjgnv.orglebd <br /> a SEPTAGE CLEANER'S REPORT <br /> Company Name: C & C portable Toilets, Inc. Report far the m tb of year <br /> Company Address: P.O. Box 1523 <br /> Riverbank, CA 95367 Signature: <br /> _ uy ad. . <br /> All information submitted mutt be cora letc accurttc and legible <br /> DATE KAMF OP BUSINESS OR ADDRESS 1VHERE WORK WAS DONE GALLONS (R) ni vorxrtAl <br /> (G) carassTzur NAIIYEORTRBAT141�'v'f <br /> fl'IPED PROP8RT1`OWPIgR PLCASE )KCLODL STRLiT p. DIRECTION• STREET NAML AND CITU PUMPED C) CTIR.(7 GlC FACILATY <br /> N 1— <br /> m <br /> (A Lite <br /> W 01). r ' <br /> M a: 1 aG r� 50 o <br /> N <br /> z <br /> z /v RIEdc�h• /J <br /> z - <br /> I 2 <br /> �n <br /> r_ <br /> 1 Q CAY 1 Cl <br /> 4.) Qly - <br /> L (1 .o <br /> 1 t <br /> � (n o <br /> City <br /> I <br /> CL <br /> v 49 <br /> u4 <br /> U L0 <br /> 06 <br /> L) m� ry Ln <br /> U N o <br /> c Qn <br /> M P � al� C;ry <br /> N f -- City <br /> a r 01Y <br /> CD m — <br /> CD <br /> Ln <br /> fD <br /> Cuy <br /> o m 1AID 42-94 <br /> 0 <br />