Laserfiche WebLink
"ECEIVED <br /> 1 0 9 2012 <br /> ENVIRONMENTAL H <br /> San Joaquin Public Health Services I �?ERMITjsERVIC SL11i <br /> Report for the month of L <br /> Environmental Health Services <br /> PO Box 2009 (445 N.San Joaquin St.) Septic Tank and Cesspool Submitted by:AA6 Sept, <br /> Stockton, California, 95209 Cleaners Report <br /> Fax: 4640138 Address: 105'$3 S Afj Oe WQ�/� Manirf <br /> Must be submitted by the 12`"of each month <br /> Date Name of Property Owner Address where work was performed type waste gal. pumped disposal site <br /> Z �( I Sir` CIT2 ✓ <br /> -2- '. - Y7M Z31V, W11C l tl it u ti <br /> Q rtt tI It it <br /> -1 t' 5 1=L J( it <br /> { 4 <br /> qSZ I I It It ti it ti I/ <br /> - vt S r( 1 _ 52z-7j I t <br /> Z <br /> It <br /> r <br /> / 7i {� <br /> V �, Z�- I (x.41 It it IL II, .L If <br /> 124 t� 11 IL <br /> C LM , <br /> u O L I/ <br /> 0 i R5 5' It I I 2j)t! <br /> eAmda 5ftZq5-z4z_11 i< LL 1, <br /> Lodl 3 �eSC Cp LL i <br /> S, - i t �fti c� <br /> I iP)M de �` ff 0 n <br /> a � <br /> 7-40 h <br /> -771-1 1 <br /> The following excerpt from the code of Federal Regulations.Section 403"Report must be signed by a corporate officer who can legally bind the <br /> company" <br /> I certify under penalty of law that this document and all attachments were prepared under my direction or supervision. <br />