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' Apr.25 10 10:29p jenny 20' "95091 p,1 <br /> Jd rAff ENTEREDw <br /> S.J. COUNTY ENVIRONMENTAL HEALTH DIVISION <br /> SEPTIC TANK & CESSPOOL CLEANERS REP D C(E ffiE D <br /> ! APF 2 6 2010 <br /> COWI ANY NAME: CENTRAL.VALLEY SEWER& SEPTIC ENVROWENT HEALTH ? <br /> COMPANY ADDRESS: 7600 HARNEY LN LODI CA 95240 PERMIT/SERVICES <br /> REPORT FOR THE MONTH OF: <br /> DATE NAME OF PROPERTY OWNER ADDRESS WHERE WORK WAS GALLONS WHERE <br /> COMPLEVEp PUMPED CLEANINGS <br /> + <br /> WERE <br /> UNLOADED <br /> Ei <br /> Ion <br /> t <br /> f <br /> I CERTIFY UNDER PENALTY OE PERJURY THAT THE FOREGOING IS TRUE AND <br />} CORRECT.. <br /> DATE: "! b SIGNATURE: <br /> E <br /> E ; <br /> 1 <br />