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r, SAN JOAQUIN C01TNTY <br /> ENVIRONMEI\ITAL HEALTH DEPARTMENT Return this form by <br /> © 304 East Weber Avenue,3`d Floor, Stockton,CA 95202-2708 the 12'd of each month <br /> w <br /> Telephonc:(209)468-3420 P*ai:(209)464-0138 Web:www,sjgov.org/ehd <br /> • <br /> Q' SEPTAGF.CLEANER'S REPORT <br /> CompanyName: C $ C Portable Toilets, Inc- Report for the m Ith <br /> Company Address: P.O. Box 1523 <br /> Riverbank, CA 95367 Signature:zip caa� IV&e:1. <br /> ...,, , <br /> s <br /> All informs+lion submitted must bo cam late accurate Pnd legible <br /> DATE NAbIF_OF BUSIKESS OR ADDRESS WHERE WORK WAS DONE GALLONS (R) RvioEMIAi. <br /> (G) c"-AsETRwr NAME Or?TREA7MS^T <br /> O = PUMPED PROPERTY OAMR PLEASE INCLUDE STREET I,, DIRECTION, STREET NAME CITY" PUMPED CI CurIcCILL FACILUn <br /> M w <br /> 00 <br /> J C:(-- D Ciry 2 <br /> co a <br /> N City <br /> o <br /> c;tr <br /> Ld �t S-�e� N 12- <br /> -2 <br /> Z7 8/ <br /> V City / -- <br /> Ciry o0 <br /> V) o <br /> 00 <br /> Lm <br /> 0 <br /> CL L city mac, <br /> v <br /> U <br /> 06 civ fey d- <br /> U o <br /> (*1 Oly 00 <br /> -- — <br /> CL <br /> E <br /> 0 CV Cify -- <br /> [D <br /> to m C11D 4244 <br /> 8130104 <br /> n <br /> rp <br /> E <br />