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SATS.IOAQUIN (--OUNI-S•LNVIRONMENTAL HEALTH DEPARTMENTftcturn tL"A <br /> 304 Foul Weber Avenue,3'd Floor, Stockton,CA 95202-2708 flic 12''o <br /> O Telephone:(209)468.342U F'ar• (209)464-0138 ffeb:www.sjgov.org/ctlti <br /> W <br /> a SEPTAGE CLEANER'S REPORT <br /> CompanvNaiue: C & C Portable Toilets, Inc- Report for the mFrslch af: <br /> P.O. Box 1523 r., <br /> Campany Addre-m' Riverbank, CA 95367 <br /> zip coat <br /> All faforronlion submitted must be complete, aecurite mad le iblc <br /> DATE EABJP OF BUSIhTM OR ADDRESS WHERE WORK WAS DONE GALLONS CC) cRrAsxrltL <br /> (GJ cnra.sr TRAI` TiAA1E OF TFiti.►'I'YIEX(' <br /> rUA4FFD PROPERTY OWNER 7LEA5E INCLUUr STItCrT If, DIRECTIOM. STREET /fAML AND CITY PUMPED C) FACILM <br /> O 1 r t <br /> City _ <br /> N z <br /> Kai TZ <br /> 5a o <br /> CO J <br /> toZ C) <br /> O W <br /> z 12 <br /> N O C-1 V <br /> z <br /> LLL4aA 0 4 iz <br /> Cit <br /> 1. Z <br /> City__ i <br /> 1OC> <br /> Giv <br /> N _ ` f` <br /> — wC <br /> y 5 -[ k-2 <br /> - o <br /> n <br /> coz <br /> ro r., cfy <br /> Lo <br /> L m i <br /> i '�_ <br /> CL <br /> i 4&c c& <br /> m _ <br /> 06 <br /> N C 14 Cm- (o <br /> Mp <br /> �t LLD 1 O airy <br /> - — -- <br /> CL <br /> 00 <br /> a fD - iYt✓� -.. .— 1-��-t/ -�- L1— Ciry - —. �- -- .. <br /> F <br /> l=try � <br /> O <br /> U � <br /> W <br /> Q <br />