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NAN JOAQLAN COt fly <br /> y LNVIR0NhiENF1A1-HEALTH DEPARTMENT Return this forts by <br /> 304 Gast Weber Avenue,3id Floor, Stockton,CA 95202-2708 the 12"'of each month <br /> Ln <br /> Telephone:(209)468•3420 Fur-(209)464-0138 R'eb:wwtr.sjgov orglehd _- <br /> a SEPTAGE CLEANER'S REPORT' <br /> IL <br /> CompanyName: C 8c C Portable Toilets, Inc. Report for the (1) of- �� }'earl <br /> P.O. BOX 1523 Signature: 1 r ec1 cr.�f �l <br /> Comps�Dry Address: Riverbank, CA 95367 <br /> z;yc■e. t r <br /> r <br /> t <br /> ASL inform><tton st¢bmitted must be tornItte accurate and Ic ible <br /> ADDRESS WHERE GALLONS (R) CFLWrTRA <br /> RINIDUMU <br /> DATE l�AATE OF BUS)A'E_SS OR (G) cI>r�ss'[RAr lrATffi OFTRB>•'[IiE,KI' <br /> p EII PROPERTY OWNER TLEASC INCLUDE STREGT r, DIRECTION, STRETT NAML AXI) CITY PUMPED C) CHEMICAL FACLLM <br /> • t <br /> City <br /> W <br /> <A Y 1 <br /> m n <br /> M l_r e an' <br /> -b <br /> (U � Ci <br /> z <br /> l <br /> H <br /> Z <br /> MY <br /> w <br /> iso m1q— <br /> Ace l z <br /> t dX4 ew ci �2 <br /> 0 <br /> to °ijr .� <br /> City o <br /> z <br /> fp — <br /> +y co City <br /> L -- _ <br /> OCU <br /> CL v Cao — <br /> U m Gh <br /> as — <br /> U 01Y o <br /> City - <br /> ft) ll] City i <br /> L <br /> Gtr <br /> \ _ - <br /> F-- <br />(\j <br /> --N <br /> N 5/3(1!04 <br /> n <br /> ro <br /> 1= <br />