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SAN JOAQUIN (OUNI.l' <br /> e I:NVI2ONNiENTAL HEALTH UEPARTNILNI Itclurn ihiti form by <br /> 304 Fast\1 ebcr Avetwc,3 Flog, Stockton,CA 95202-2708 <br /> � a <br /> Telephone:(209)468.34201-rtz- (209)464-0138 Meb:www.sjg(�v.Orglchd (lie I2 of each rnr/a(h <br /> N <br /> SEPTAGE CI_.EANER'S REPORT <br /> CompanyNalne: C & C Portable Toilets, Inc_ <br /> P.O. Box 1523 Report for the mesldr of: -i-�—% year" <br /> Company Address: � ! r, <br /> Riverbank, CA95367 zipc.dc Signature: %nom t cc <br /> All 1ts[orroaliau submitted must bt cam Ittt .ccur.tc •od le iblc <br /> DACE FANIF OF DUS3hTM OR ADDRESS IYHHRB[YORK VIAS DONE GAI 10)\S �) RettDerrt7At <br /> PUMPED PROPERTY OWCIER )FLEASE INCLUDE STRICT 4. DIRECTION, S T R E I T H A N L A 1;P CITY PUMPED (C) CarmSTRAI• NAJA1L OF TREA'IM&%-r, <br /> O J C1 CHEMICAL FACILFTY <br /> U w <br /> f <br /> _co p - <br /> 5a o <br /> 00 ~ <br /> tD t? � Ciq- _ <br /> m <br /> o - u 1 N )Lj I <br /> CU /" G_ <br /> Z <br /> a <br /> ,a <br /> w 949 Cip• <br /> 9 �a <br /> City <br /> t 0I <br /> to cit" <br /> IU � <br /> mf , f z <br /> t0 CZACtty :Min <br /> .� <br /> +. CD - <br /> v <br /> Ov <br /> CL CT) <br /> 06 _-� C <br /> U - Cm• <br /> i <br /> 0 <br /> �_ o City <br /> CL y _--- � M <br /> c;�9' - <br /> - _ <br /> V <br /> Y <br /> In <br /> cu, F <br /> V <br /> QJ <br /> *' n <br /> U ` <br /> 0 <br />