Laserfiche WebLink
Apr 25 10 10:29p jenny 2 <br /> "95091 p.2 <br /> u <br /> NVIRONNtENTAL HEALTH DIVISION <br /> � � <br /> S.J. COUNTY E HED <br /> SEPTIC TANK & CESSPOOL CLEANERS REPORT <br /> COMPANY NAME: CENTRAL VALLEY SEWER& SEPTIC <br /> COMPANY ADDRESS: 7000 PARU4Y LN LODI CA 95240 <br /> REPORT FOR THE MONTH OF: ( ) <br /> DATE NAME OF PROPERTY OWNER ADDRESS WHERE WORK WAS GALLONS WHERE <br /> COMPLETED PUMPED CLEANINGS <br /> WERE <br /> UNLOADED <br /> r <br /> 1 . <br /> I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING LS TRUE AND <br /> CORRECT. <br /> DATE: � � `1SIGNATURE' <br /> I <br /> r <br />