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Ra.`IIA�laci 1 linlu» <br /> SAN JOAQUIN COUNT'S' Return this form by <br /> + I NYTRONMFJ'•I AL Rr-ALTil DEPARTIAETT (lie 12""of each month <br /> Cl) 304 Fast WebeT Avenuc,3rd Floor, Stockton,CA 95202-2708 <br /> (� m Tele hone:(209)468-3420 F'ax:(209)464-013B Web:www.sjgo�.arg/chd <br /> w <br /> SEP.TAGE CLEANER'S REPORT <br /> c� <br /> a .'ea r� <br /> o_ Report for them th of: <br /> compan)'Natne: C 8t C Portable Toilets, Inc. <br /> P.0 =4�11 <br /> Siguature: <br /> Box 1523 <br /> Company Address: Riverbank, CA 95367 �d= <br /> All inforlDntioe subinittcd must bt corn tete Pccurttt and le ible (R) IirLsiDENnAl <br /> ADDRESS\VUM WORK R`AS DONF GALLOI+`S (G) e��sTRA I�,SAIT O CILn'y MfE!�I <br /> PATE t�Ah1E OF BUSStiESS OR PUMPED FA CIGffY <br /> 0 ��� PROPERTY O%VNER )LEASE ITCI-DE STREET A, DIPECTIOt1. ST14LET NAML AND CITY C) CItEMiCAL � ' <br /> 12 <br /> C� Q ✓ Qry, <br /> m = l <br /> m a <br /> o <br /> N w cc <br /> 5;7 < <br /> 0 1 . City <br /> � N <br /> > CCIV <br /> Z <br /> Lij Led <br /> Ci <br /> L� <br /> N Gt,- <br /> a) <br /> c`lr <br /> L m <br /> O City d <br /> (L r9 - <br /> v <br /> U v city <br /> ad 01 <br /> U m cm — <br /> 0 <br /> ciry <br /> cit'. <br /> t0r- Gly <br /> — -- <br /> --- a' <br /> `' F— <br /> ca <br /> CD MID 42-94 <br /> 811104 <br />