Laserfiche WebLink
.: & 600 Lust Main Street, Stockton, CA 95202-2708 the 12t1i of each nzont3t <br /> Telephone: (209)468-342 F <br /> 0 ax:(209)464.0138 Web:1vww.sjgov.org/e1id ^ <br /> Company Narne: <br /> Report for tEt ant11 q� (• year <br /> signatul•e: <br /> Company Address: I <br /> Street Address Ciry Zip Code <br /> A11 information submitted must be corn Ictc, uccuratc, and Ic iUlc <br /> DATE NAA•IG OF BUSINESS OR —"" <br /> PUMPED PROPERTY OWNER ADDR!SS tiq�IIERE tiVORIC 1VAS DONE GALLONS (R) GREASE TIAL NANIF Or TIZRATMENT <br /> PLEASE INCLUDE s•I,ItL•'ET p, DIRECTION, STRLET NANL AND CITY PIIMPED �C') ClZEA1C,ki. P FACILITY <br /> . (C) cnEnncAl. <br /> - 1 -� C1 <br /> CII' I <br /> Sze P c <br /> City <br /> r <br /> City 2 <br /> City_ <br /> � cit 0�• t <br /> cit C-cc <br /> Cil y <br /> CityY� ¢� <br /> City <br /> 03D2>'D2> i J City <br /> -' City <br /> City <br /> city <br /> — City <br /> City <br /> City <br /> cit}. <br /> City <br /> GHD 42.04 <br /> Septic/Cesspool Report <br />