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RECEIVED <br /> U <br /> cm! 1020,2 <br /> N San Joaquin Public Health Services for the month of ' 12 <br /> a Environmental Health Services ENVIRONMENTALHAW <br /> Joaquin St.) Septic Tank and Ce T/SERVICES <br /> PO Box 2009 (445 N.San Joa <br /> G P sRs � Submitted 6y:,4M_Se��� <br /> Stockton, California,95209 Cleaners Report <br /> Address: <br /> Must be submitted 10S$3 .=�r ► {A/Q�/, I TI�t'Q <br /> by the 12�h of each month <br /> rn <br /> 0 <br /> m <br /> Date Name of Property Owner Address where work was performed type waste gal. pumped disposal site <br /> m ^ (I Pri n <br /> N <br /> �2- S tt u u <br /> 2 LIobe's 10sldenllaL u <br /> on [ "',N DOD d u <br /> 0 Ve ?121re; n u <br /> Z <br /> Y1 Co I �5ZDIJ 2,6oQ u u <br /> -)3 4a E. Wa4ters 9j, FC. q52-311 00 <br /> LU u u m <br /> 57� _ <br /> o GI M0 S v c <br /> deYt It, a <br /> s U --5f)nSt <br /> a <br /> H Z t UY 2-00 It N <br /> Ui <br /> I ((P 00 P o <br /> 133 5 i Ii <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 o <br /> company" <br /> an I certify under penalty of law that this document and all attachments were prepared tinder my direction or supervision. ~ <br /> U) <br /> 0 <br /> v � > <br /> o — <br /> N _ Q-5— [2, <br /> a — � <br /> d <br />