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'r <br /> ' :;m Jo:)quin County EnvironhiClltal llcalth Dcpartmcnt RECEIVE' <br /> Septic Tank and Cesspool Cleaners Report <br /> COMPANY NAME: TQNY R_ SILVA JUL 0 3 2015 <br /> COMPANY ADDRESS: 5152 w_ altA MINE tD_ TRACY, CA_ 95304 ENVIRONMENTALE <br /> REPORT FOR THE MONTH OF: nZyw Re"I � __ PERMMSEFMCESTM <br /> DATE NAME OF PROPERTY ADDRESS WHERE WORK GALLONS WHERE CLEANINGS WERE UNLOADED <br /> OWNER WAS COMPLETED PUMPED <br /> MAA-tk 857SS>' s fe. e <br /> 16 <br /> }t <br /> - a i C � <br /> o Ca i <br /> vir r G tkz <br /> r/w L <br /> tJ,vt V �a o <br /> ° TmCf <br /> ickeirch jjS!q"7 ga,'' - . <br /> Tref <br /> Rt-1.....Ili-If - 12"o(c.<-I. .......(h I CERTIFY UNDER PENALTY O} Yf,RJt1RY 1 IIA[' 1'LIh; FORGOING IS TRUE AND C)IZRF.CI-. <br /> Fnciruun...nu.l 11t-allh Uc)c.rl mt'ui <br /> :117 h.:... A.......... <br /> a..rk.....-(-:, ')C 202 DA.11. SIG. A- UIZE, 01, APPLICANT <br />