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RECE, :;m Joaquin County 1;nvironnicrntal 11c;dth I)cpartmcrt IVSD <br /> Septic Tank and Cesspool Cleaners Report <br /> DEC 04 2014 <br /> COMPANY NAME: TINY R_ SILVA _ <br /> COMPANY ADDRESS: 5152 W- GRANTLINE RD. TRACY CA. 95304 _ ENVIRONMENTAL HEALTH <br /> REPORT' FOR THE MONTH OF: % D� d Z y _- PERMITISERVICES <br /> DATE NAME OF PROPERTY ADDRESS WHERE WORK GALLONS WHERE CLEANINGS WERE UNLOADED <br /> OWNER WAS COMPLETED PUMPED <br /> 6 Tri.ore, <br /> 't <br /> - <br /> 7"ra �i <br /> o 7 y <br /> _ v ro <br /> � v 3 D �/Sr T - <br /> r� � <br /> R(q.—I by II„- 12",,f cacti n,,,,,(h to I CERTIFY UNDER PF;NA1J'Y OF PER.IURY THAT T11E FORGOING IS TRUF; AND CORRECT. <br /> r:,,ciruun,t•nlal Ilcallh Ilcharimcnl <br />` -iW F.n., ��.�I,.�r Aveuur,.� �– _ <br /> S1„ 1, <br /> ck —.c�A 95,2412 1)A'11, SIC- OF AI'1'1.1 CA N'T <br />