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600 Last Main Street, Stockton,CA 95202-270$ the 121"of each month <br /> • wa ; <br /> Telephone:(209)468-3420 Fns,(209)464-0138 Web:www.sjgov.org/ehd <br /> SEPT + CLEANER'S RE PORT <br /> Company Name: <br /> Company Address: l�epor for the mo th of- yea,tJj -- <br /> 1 <br /> Street n dross I Sig <br /> City zip caaC <br /> All information submitted mast be complete, accurate, and le iUlc <br /> DATE NAME Or BUSINESS OR <br /> PUMPED PROPER ADDRESS WHERE WORT(WAS DONE GALLONS (R) RESIDENTIAL NAME or TREATMENT <br /> PLEASE INCLUDE STREET N, DIRECTION, STREET NAME AND CITY PUMPED (G) GREASE TRAP rACILITY <br /> (C) MEMICAL <br /> 31 <br /> 13 <br /> 1 1J• 2l �L' • Cit S�� ' <br /> 1 ' .z cit O C <br /> ,31 cid 'i" C <br /> Cit <br /> Cit <br /> sh Cit <br /> ao + Q <br /> Cit <br /> dog C <br /> Cit <br /> a1 1 �, �Co <br /> Cit <br /> 3s— z' c- , <br /> f�r city CXR <br /> Cilv <br /> 3 Cit o0 12- <br /> Ca(o <br /> City �0 2 <br /> —` ,, , � aco city J 2 <br /> Cit• C <br /> W7 i n — <br /> C City <br /> q Cit <br /> 3 V-v t 1 Cit <br /> KDICIt <br /> n C. o u-Oily i 1 acro <br /> EHD 42.04 <br /> Septic/Cesspool Report <br />