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SAI.JOAQUIN COI-TM-V <br /> m EAfVrRONMFFFTTAL HFAI Tx DF�ARTAtTit�'T Return this form by <br /> CD 304 Gast WcbeT Aveaauc,3"'Floor, Stockwn,CA 95202-2708 the 12° of each month <br /> Q m T elephorte:(209)465-3420 Fax:(209)464-0138 Me&www,sjgov-crg/ehd <br /> SEPTAGE CLEANER'S REPORT <br /> Company Name: C & C Portable Toilets, Inc. Report for the tll of: year <br /> P.O. Box 1523 <br /> companyby cads <br /> Address: Riverbank, CA 95367 Signature: /�/1�,1 �cr.�ZV <br /> . f <br /> All lnformallon submitted must be cempltfe7 atcur►te ■Dd legible <br /> (R) R¢SIDENrULL <br /> O ATE NAAM OF SUSIKESS OR ADDRESS WHERE WORK WAS DONE GALLONS (Gy cprASj;TR r KAJME OF TRBA'I NW—P C <br /> — jD <br /> UAj]PED pROPERTYOWNER )LEASE INCLUDE S7RrKT X. DIRLCTIOH, STRGL7 rtAM AND CITY PUI FFD CI csurmium FACILITY <br /> - � 033 - <br /> co S G9' <br /> O <br /> O H CSq (d <br /> Q.sfi City Z <br /> 0 <br /> H <br /> civ <br /> e - <br /> ' o c (o <br /> N � I r— I <br /> C"� o <br /> - <br /> -a City o <br /> 10 <br /> ODCL <br /> � 2 <br /> U 'Cr <br /> 03 LO D <br /> Um ory <br /> N / o <br /> Z <br /> � m • <br /> a <br /> `15 <br /> �` 1 d <br /> O - - - <br /> CD <br /> m Cin <br /> N <br /> .--I \ <br /> CD Gty > <br /> co <br /> .--1 � CIID 4Z-UQ U <br /> a� <br /> n 8/30/04 <br /> rp <br /> E <br />