Laserfiche WebLink
SAID JOAQUIN COUNTY <br /> mAwk� ENVIRONMENTAL HUA.LTH DEPARTMENT Return t1tis form by <br /> Ln 304 East Weber Avmiuc,3t°Floor,Stockton,CA 9$202-2708 the 12'b of each month <br /> m <br /> Q TeCephottc:(209)465-3420 Fax::(209)464-0138 Web:wwix.sjgol•_orglchd <br /> w <br /> a SEI 'TAGE CLEANER'S REPORT <br /> Company Name: C $. C Portable Toilets, Inc. import for them tIl of: year <br /> �Dl'al <br /> V <br /> Company AP.O. Box 1523 ddress: Riverbank, CA 95367 Coat Signature: 2V <br /> All Informatloa su6mitted must be Com (ete aecur►te and Ic iblc <br /> (R) RvsIDrNTIAL <br /> DATE NA 61E OF BUSINESS OR ADDRESS WHERE WORK WAS DONE GALL07�5 CC) CIICASIML r M01F.OrTREATMUNT <br /> O PUMPED FACILITY <br /> rUMPED PROPERTY OWNER rLEA&E IiiCLUDE STREET N, DIRECTION. STREET NAME CITY C) [tit[MI C4.L <br /> co a <br /> W r <br /> CT) <br /> N i j <br /> Z /V j�� ' `�' ctn <br /> �• ��Q —_ c'ry - <br /> LLI <br /> cin <br /> cil <br /> � <br /> L co Cly -- <br /> 0 M <br /> EL � d <br /> M city Ln <br /> a - <br /> U Lo <br /> as Vicy .�- <br /> U m --- — – <br /> (V _ O <br /> Cin' CV <br /> M — Ci[Y <br /> IL — <br /> (n City <br /> rd <br /> ,� r Cily <br /> m Ciq' .-- .-_._.- ---- <br /> ,--i M Cuy a <br /> a) <br /> '~ EIiD 42-44 <br /> n 8130/04 <br /> tp <br /> E <br />