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San Joaauln Public Health Services Report for the month of �k)VM (r 2P12- <br /> Environmental <br /> PfZEnvironmental Health Services <br /> PO Box 2009 (445 N.San Joaquin St.) Septic Tank and Cesspool Submitted by:�]� /M <br /> Stockton, California,95209 Cleaners Report <br /> Fax.4640138 Address:1OS$3AfMr-f Wau� +•¢virecu <br /> Must be submitted by the 12i4 of each month <br /> 0 <br /> 0 <br /> Date Name of Property Owner Address where work was performed type waste gal.pumped disposal site <br /> m <br /> C{ go2- -ZIS (e.. l i 2t�U <br /> N <br /> 1— ei -r ' 153 W- S 9541 0 1, 3000 N <br /> —2—Radj� (0tt N <br /> L— ;" ti N <br /> (� I_ S ' S 5 u y I p t ,/ <br /> 5 � , ..Ls I Z C t ' e" CjS u u 12s�0 n u <br /> -S nwns a Mo G res de of too <br /> SM29Au i U Jt u <br /> I�10 2S kenheodu ZZ- S EC. +t N ll�UO n u o <br /> W SG. G Gvaja&eI Uoc� It " z <br /> o 11-14 rthCu '2—q,6q 5 7c_ % rCSIcIeVI Ci ?�O It <br /> M i cisalf �� t+ <br /> a V4 W 11Wd tt L <br /> 11-17 (Ck", o 2-q-7 P> O Sfiu- qS2Ji- <br /> LLJ <br /> I-DS s Place W. l T R5 tt i 2 p� IL <br /> n <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 e <br /> Ln <br /> company <br /> c I certify under penalty of law that this document and all attachments were prepared under my direction or supervision. <br /> 0 <br /> N - <br /> I2.--3 .-1Z <br />