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S.J. COUNTY ENVIRONMENTAL HEALTH DTVIRWEIVE® <br /> SEPTIC.TANK._&__CESSPOOL CLEANERS REPORT <br /> NOV 0 2 21['10 <br /> ENVIRONMENTAL HEALTH <br /> � <br /> COMPANY NAME: CENTRAL VALLEY SEWER& SEPTIC PERMIT/SERVICES s <br /> COMPANY ADDRESS: 7000 HARNEY LN,LODI, CA 95240 <br /> REPORT FOR THE MONTH OF: <br /> i <br /> t DATE NAME OF PROPERTY OWNER ADDRESS WHERE WORK WAS GALLONS WHERE k <br /> COMPLETED PUMPED CLEANINGS <br /> WERE <br /> UNLOADED <br /> } <br /> Y V <br /> a J <br /> { <br /> 1 <br /> i <br /> s <br /> I <br /> I <br /> I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND <br /> 0 <br /> CORRECT. <br /> DATE: �l SIGNAT <br /> � f <br /> . I <br />