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lll� N../ <br /> S.J. COUNTY ENVIRONMENTAL HEALTH DIVIsRECEIVED <br /> SEPTIC TANK & CESSPOOL CLEANERS REPORT <br /> NOV 022010 <br /> EWH'ONMENTAL HEALTH <br /> COMPANY NAME: CENTRAL VALLEY SEWER& SEPTIC PERMMSERVICES <br /> COMPANY ADDRESS: 7000 HARNEY LN,LODI,CA 95240 <br /> REPORT FOR THE MONTH OF: �EURED <br /> DATE NAME OF PROPERTY OWNER ADDRESS WHERE WORK WAS GALLONS 1 WHERE <br /> COMPLETED PUMPED CLEANINGS <br /> WERE <br /> UNLOADED <br /> �� <br /> S aY t2 f y� , / ►�n"/ <br /> 6 <br /> 8 t� 2137aim kjS <br /> I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND <br /> CORRECT. <br /> DATE- f1 SIGNATU <br />