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.wEMjMRECE1VED <br /> San Joaquin_ Public Health Services _ FEB 12�1� <br /> CL Environmental Healt Services �� Report for the month of �TA PO Box 2009 i445 N.San Joaquin St. �NMEALTH <br /> 1 Septic Tank and Cesspool Submitted b : E /SEA ES <br /> Stockton,California, 95209 Cleaners Report y <br /> Fax:4640138 <br /> Must be Submitted by the 12th of each month Address: b r f a <br /> 0 <br /> Date Name of Property Owner Address where work was performed tyCO <br /> pe waste <br /> Ra1l Pumped disposal site <br /> o1',55-6C. CIA01V12-1- <br /> 1 ZOO <br /> -lek <br /> t 7 rL�a 5fk CT51^ ft it <br /> a t< << <br /> 3� R5Z[Z It r. <br /> 5 o f 11 n A a <br /> N, - ��� r <br /> Burr It a <br /> `2 8L R�1— CZOQ u <br /> i�l� c a R52o r� <br /> G�1 l f:YJt� tl :r <br /> `i3 llD <br /> Yit ! 2 -W. bt t� 0vc) <br /> �Yv t� rr <br /> w -( s 1lezt L - - u o u it <br /> -7 96M <br /> a -I 3 cis ZOO k a <br /> k k. 11 <br /> C <br /> �� 5 C�r� se ► J, G <br /> LU <br /> A�f el <br /> Sze, Iz _ <br /> The following excerpt from the code of Federal Regula tons.Section 403 t"IReport must be signed by a corporate officer who can legally <br /> company" g Y bind the <br /> I certify under penalty of law that this document and all attachments were prepared under my direction or supervision, <br /> 0 <br /> CD <br /> FD <br /> CL <br /> m <br /> Cn <br />