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RECEIVED <br /> DEC 0 9 2015 SAID JOAQUIN COITKCY <br /> m ENVIRONMENTAL HEALTH DEPARTMENT Return this form by <br /> 344 East Weber A—uc,3id Floor, Stockton,CA 95202-2748 the 12'h of each month <br /> ro m ENVIRONMENTAL HEALTH Telephone:(209)465-3420 Fa.L(209)464-0136 Web:ww%V,sjB0�—r9/chd <br /> Q PERMIT/SERVICES SEPTAGE CIX ANER'S REPORT <br /> ��' <br /> y' � <br /> companNamhee= C & C Portable Toilets, Inc. Report for tmeplfh a�: yea — <br /> P.O. Box 1523 Sigmature;� E--p-2"--e--A c- cu 7--1 <br /> Conlpatry Address: Riverbank, CA 95367 �< <br /> coag <br /> All Inforraallon submitted must be corn Ittc {1C4turntc lkod le ible ✓ <br /> (R) RESID E_"tTIhL <br /> DATE FAhlFOFBUSIh SS OR ADDRESS WHERE WORK WAS DOTE GALLONS (C) CREA.SSTR F ��FAUUOFT ATIrfS?.T <br /> O <br /> pUMPBD PROPERTY OWNER YLFASE INCLUDE STREET' W, DIREcTIoN, STREET NAML AND CITY PUMPED (C) CHEAUC&L £ACI[dTY <br /> (V J / !i 0 - City 2.. r •` <br /> 00 Q /_ I <br /> W Cin 1C/ <br /> O Fa- Q� OtI <br /> O z <br /> N w -Ci <br /> Z ' C <br /> 5 -r�.r Oh <br /> H 1 <br /> �I•/I <br /> Z 1 Elly — <br /> Ld <br /> d a. <br /> c Ci <br /> P, 1Adairy. ` <br /> Cj ry <br /> r <br /> � _ o <br /> (zly- <br /> 10 _ <br /> +.) pp City <br /> L M <br /> ocity <br /> EL <br /> Lo <br /> U City <br /> d1 t9 <br /> u N C14 _ a <br /> cv <br /> Ci N_ <br /> r-1 <br /> [L ctn <br /> O <br /> City <br /> 'i m Gy <br /> -- -- — — -- - -- — <br /> ty Ln C0 <br /> CD Cul <br /> CS) };HD 42-04 <br /> 8/30/04 V <br /> 0 <br /> lu <br /> Q <br />