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fl II ' <br /> Z"JOAQUIN(-VUN'ITV " <br /> EWIRONMMTAI,HEALTH DSPARTMMT ' Return ttitia Awm by <br /> 600 F.s1sf Main Sweet,Sen iwe CA 95202,2788 the le of e0ch month <br /> W40v oe:(209)468-3420 Fx:(209)464.0138 Mak-%%vw-,s,jgov.ogVehd <br /> N SEPTAGE CLEANER'S REPORT <br /> I <br /> Codltpilay Names C . ( �l Report for the month pA. y�e:tr�1 <br /> Company Address: s :. t �� Signature: <br /> cly <br /> 11 lorarg-9LLOn submitted.—Most be eam i la areurs3a <br /> f.: <br /> DATE itAMB OF B[t81Nt;li4 OR t, ADDRM WHiRB WORK WAS b(ll E GAL1,WS �� wnuacwne� OR'!`i�ATM1 l7L� <br /> PUMPED PROPP.ATY0%AWM PUMPO IG) aasAse rear _JE <br /> . RACiLtTY. <br /> PLrAl6 1Ncl u0L 0"Kcr N, aIRECTION, GiBEET RAM! AND CITY <br /> ckv <br /> WED <br /> MAR 1 2010 <br /> HEALTH <br /> PEBUII.ISFIVIGES <br /> Nil <br /> i <br /> C6. a <br /> i., <br /> city <br /> fi <br /> MY <br /> Ck <br /> �j <br /> >ttlp e241 #` <br /> 8q*Qc vwl PAW <br />