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Ju.n 11 09 01:47+ jenny p a Y n�. �- 3695091 p.2 <br /> 1 <br /> r <br /> - f <br /> I <br /> E S.J. COUNTY ENVIRONMENTAL HEALTH DIVISION <br /> SEPTIC TANK & CESSPOOL CLEANERS REPORT <br /> COMPANY NAME: CENTRAL VALLEY SEWER& SEPTIC <br /> COMPANY ADDRESS: 7000 HARNEY LN LOM CA 95240 <br /> REPORT FOR THE MONTH OF: Gf r Gp• i {�� <br /> DATE NAME OF PROPERTY OWNER ADDRESS WHERE WORK WAS GALLONS nNS WHERE <br /> ! COMPLETED PUMPED CLEAN3NCS <br /> WERE <br /> UNLOADED <br /> rz _p/0 vvbqt-L2—'-6(90Q <br /> �'0 f f App U <br /> h <br /> I CERTIFY UNDER PENALTY OF]PERJURY THAT THE FOREGOING LS TRUE AND <br /> CORRECT <br /> DA f E• SIGNATURE: <br /> U <br />