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r SAP JOAQUIN COTRV T <br /> ENVIRONME1'1•ALHL•ALmDEPA)tntwr Return this forts by <br /> m 304 East Webcr Avenue,3rd Floor,Stockton,CA 95202-2708 the 12"of each month <br /> TeLphonc:(209)466-34201,ai(209)464-013B 111eb:www.sjgot,nrg/chd <br /> w <br /> ° SEPTAGF. CLEANER'S REPORT <br /> Company Name: C $ C Portable Toilets, Inc. Report for the m tll of- _ year��� <br /> Company Address: P.O. Box 1523 <br /> Riverbank, CA 95367 Signature: r-�of-Zl 14 , C-e' 2V <br /> Zr t;,e� <br /> All iniormAlion submitted most be complete, Pecurate sud le iblo <br /> DA'L'E NAME OF BUSIKESS OR ADDRESS WgFRE WORK WAS DONE GALLONS (R) RK51DUWU <br /> (G) cxEtissTRM ��ORTR8A77vIE!�T <br /> O PUMPED PROPERTY OWNER PLEASE INCLUDE STREET E, DIRECTION, STREET NA ML CITY PUMPED Cl r-KrASCMEMCAt FACILITY <br /> JAI <br /> mzd -/low A�1117 C41w <br /> M 'r - <br /> ary /2 <br /> 00 <br /> u- 6 I yo /� 12 <br /> W <br /> N Z & r C [in• / - <br /> O <br /> - <br /> _ ci3. <DC> <br /> ex. <br /> 0 <br /> to �• �� .� <br /> o <br /> •-) co <br /> F7 W7_1 <br /> L J c;,y <br /> o m <br /> Lo <br /> tL Lo chy <br /> v <br /> U cn <br /> o trey <br /> 011 N d <br /> U o <br /> Cin C4 <br /> _ G9' 06 <br /> — -- - <br /> CityA <br /> o <br /> r- Ca., <br /> O No <br /> cc <br /> � -------- ---- -- ------- City -- <br /> Cuy o <br /> a) a' E,11D <br /> 80 010 4 <br /> n <br /> ro � <br /> E <br />