Laserfiche WebLink
SAN JOAQUIN COITMY <br /> ENYIRONMFiNi'AL 1 IEAL1'H DEPARmEKr Returia this form by <br /> 1. m 304 East Weber Avemic,3rd Floor, Stockton,CA 95202-2708 the iz h oreach month <br /> 2 Tetephonc:(209)468-3420 Faz:(209)464-0138 Web:www,sjgoti•_org/ehd <br /> w <br /> SEPTAGE CLEANER'S REPORT <br /> Company Name: C & C Portable Toilets, Inc. Report for them tb of: <br /> P.O. Box 1523 <br /> Company Address: nature: <br /> Si <br /> Riverbank, CA 95367 g i��n oma_ c�-mss zi-� <br /> - Zip cosi <br /> A11 111[orrnxlion submitted must be corn letc occurste and Ic i6[e <br /> DATE KAM$OF BUSIK'E3S OR ADDRESS WHERE WORK 11'AS DOME GALLONS (R) wainwrtAL <br /> U <br /> PUMPED PROPHRTY O�YN$R (G) CREASEMAr NAME O TREATM£.NT <br /> ,.y = PLEASE INCLUDE STRCGT K. DIR[CTIOtT, STREET I'tAML AND CITY PUMPED C) cum"CAL FACILITY <br /> N � <br /> 'a <br /> M W Ciy r - <br /> M z <br /> CX) L5 QA <br /> M a <br /> z <br /> O N s� L moi/ <br /> a// 7 127 G 9& City <br /> z <br /> W ciry. <br /> 9 of <br /> ity j <br /> ` _ 1:2 <br /> ,y O Ci.. <br /> L ' <br /> 0 City m <br /> D <br /> U 7 , <br /> U n 3 &CRL <br /> U 9 - <br /> v o <br /> C-4 <br /> p 7a �y ! �� a1v <br /> ro <br /> tu, _ C1113 <br /> -- <br /> ci� <br />.� - — E= <br /> D <br /> C7 <br /> a <br /> tU' E,IID 42-04 <br /> U <br /> n 8!30/04 <br />�o <br /> E <br />