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• 600 East Main Street, Stockton,CA 95202-2708 RECEIVE® o <br /> the 1211'of each month <br /> W4 .46 <br /> Telephone:(209)468-3420 Ru. (209)464-0138 Web:www.Sjgov.org/ehd <br /> SEPTAGE CLEANER'S REPORT JUL 2 4 2015 <br /> Company Name: A7 ReS P �U <br /> yedh <br /> Company Address: 1 f ) ��� Signature: <br /> Street Address City Zip Code <br /> All information submitted must be Com Tete, accurate, and legible <br /> DATE NAME OF BUSINESS OR ADDRESS WHERE WORK WAS DONE GALLONS (R) RESIDENTIAL NAME OF TREATMENT <br /> PUMPED PROPERTY OWNER PUMPED (G) GREASE TRAP FACILITY <br /> PLEASE INCLUDE STREET ll, DIRECTION, STREET NAIVE AND CITY (C) CHENIICAL <br /> 1`1v,r�nC�1 t 10 i 19 l , Cit <br /> /� q� a <br /> ' r cit <br /> � p ,i�,� bLJ 1 OC <br /> � � <br /> � <br /> City � <br /> az SL_G - <br /> ' cit <br /> cit SW <br /> city <br /> I Ui I , •7FTLcit <br /> lX t t ALU _X>� Cine <br /> City OcdC� <br /> city <br /> I�AlhCit L <br /> \ 1 c'- <br /> cit /_) V <br /> city <br /> cit C_)VV�}/�� <br /> �1 ' citJ <br /> v cit <br /> City <br /> cxn 42.04 <br /> """" Septic/Ccsspool Report <br />