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600 East Main Street, Stockton, CA 95202-2708 the 12t1i of each na-j <br /> onth <br /> s.. <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjaov.org/ehd �____ <br /> c""y5?, <br /> �t FOR <br /> SEPTAGE CLEANER'S RE'P®RT <br /> Company Name: Report forAc mouth-of: Willi yea( : ))S <br /> Company Addl•ess: <br /> " Signature: <br /> Street Address City Gip Code <br /> All information submitted must be cons Tete, accurate, and Ie ible <br /> DATE NAME OF BUSINESS OR ADDRESS WHERE WORK WAS DONEGALLONS (R) RESIDENTIAL NANIE OF TREATMENT <br /> PUMPED PROPERTY OWNER PUMPED (G) CREASE TRAIL FACILITY <br /> PLEASE INCLUDE STREET 11, DIRECTION, S'T'REET NAME ANU CITY (C) CIlLmICAL <br /> Cit ' G� <br /> City' <br /> � <br /> City <br /> cit <br /> C t CJ6, rpt l�= Y <br /> City <br /> Cit <br /> City <br /> city <br /> Citv <br /> Cit <br /> Citv <br /> Citv <br /> City <br /> City <br /> City <br /> City <br /> City <br /> City <br /> EFID 43.04 <br /> Septic/Cesspool Report <br />