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Septic Tank and Cesspool Cleaners Report RECERED <br /> L <br /> OD - JAN 0 8 2010 `[? x,0135 <br /> CD COMPANY NAME: �' t <br /> COMPANY ADDRESS: �-y C- s VWRONMENT HEALTH <br /> Q5 REPORT FOR TME MONTH OF:_ e. �7voy PERMIT/SERVICES <br /> DATE NAE OF PROPERTY ADDRESS WHERE WORK GALLONS WHERE CLEANINGS WERE ADE, <br /> OWNER WAS COMPLETED PUMPED <br /> �c/dr12 919 <br /> �r/y <br /> roc . <br /> LU t <br /> '144 z c4l <br /> a <br /> o <br /> IL <br /> a <br /> a <br /> N <br /> 'Cr <br /> m <br /> d <br /> N _ <br /> L0 <br /> M <br /> W <br /> N <br /> N <br /> r-I <br /> Q' <br /> m <br /> ED <br /> `�' I CERTIFX uNDER PENALTY OF P A1'THE AGOING IS TRUE AND CORRECT. <br /> CD Return by the 12a o(e�ch month to � <br /> 4 Fpyironms4fslHerltdDiTiBlon �� '�'f� le�C�j�ty <br /> m U4 Ru(Weber Avenwe.3 a Floor STA E OF APPLICANT <br /> � / <br /> m <br /> SmAt ,CA M02 ATE <br /> Sep%*R".12f" <br />