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600 East Main Street, Stockton, CA 95202-2708 <br /> Telepholle:(209)468-34.20 Fax:(209)464-0138 11"eh:Www.sj,ov-oj-g/ehd l.211'of each month <br /> GE CLIE <br /> . 89II24TANERIS IRE PORT <br /> CompanyName: <br /> POY <br /> I'a . Report for th611 911th Year <br /> Company Address: m01-D3) - E <br /> Street Addressq.. City Signature: 7-- <br /> ik 11 in rort-na tion submitted must be cont fete, accurate, and legible - <br /> DATE NAME OF BUSINESS OR ADDRESS NYHERE WORK WAS DONE GALLONS (R) uEsi DENTIAL NAME OFTREATMEM, <br /> PUMPED PROPERTY ONVNER (G) GREASE <br /> PLEASE INCLUDE STREET 0, DIRECTION, STREET NAME AND CITY PUMPED FACILITY <br /> (C) CHEMICAL <br /> e. 0v <br /> Jel- S70 Oji,, <br /> Ll City , <br /> cii <br /> qm <br /> CitCit Cy <br /> lit <br /> A) <br /> hrl:ril 0,w cit" <br /> nDr) <br /> Lod"- cit- <br /> city <br /> wLed dUl L OLV5-1�-Ln <br /> nxa),av, city, <br /> 4L9 —Cr <br /> 9 L4Cil P" <br /> aty <br /> City <br /> GEfD 4?-04 <br /> Septic/Cesspool Report <br />