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aan jouin L ounry znvl nmentat nwa rrMCE�V 1�U L <br /> Septic Tank and Cesspool Cleaners Re ort f j <br /> COMPANY NAME: SEP 1 4 2009 l'� <br /> COMPANY ADDRESS: <br /> Li <br /> REPORT FOR THE MONTH OF: 2e8A, pv N41 J ALTHDMA <br /> 1 <br /> DATE NAME OF PROPERTY ADDRESS WHERE WORK GALLONS W TNGS WERE UNLOADED <br /> OWNER WAS COMPLE`TED� PUMPED <br /> Fq 3 P-el 6f,4-10 IW c?Am* Way 3 Y9'j <br /> fir Tt5rw .Y• �� � C.*P- x l( /�� �[lC ia+y <br /> Ln C�ry►�rc#C s y r ��f,,�LL F / <br /> r4 _ <br /> EL <br /> ���• j�rswt �• �t S � �.J©� � t <br /> N <br /> V <br /> m <br /> V . <br /> N <br /> Lo <br /> 0 - <br /> LV <br /> Cn <br /> CD <br /> W <br /> co Return by the to-of cash uooth to I CERTIFY I I1�IDER PENALTY OF P HAT THE RGOING IS TRUE AND CORRECT. <br /> Em lronmental Health Divltivn <br /> lzrl304 Lsst Weber Avene[e,3rd Flour 0/ l C i v y�v <br /> sroekinn.CA 95202 ATE. SrCNA OF APPLICANT` <br /> m <br /> SeAep Rev.I2f99 <br />