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San Joaquin County 1♦;nvironglemtal Health Divmoa � �� � <br /> Septic Tank and Ct4spool Cleaners Report ` L <br /> COMPANY NAME: F / JAN .0 8 2009 C .p� <br /> w COMPANY ADDRESS: �.�1f /��,� � �.,Cf ' ��G Y y_� �� �5'�s <br /> REPORT FOR THE MONTH OF: _ c .� ry- 200AT �--�fVV1Rp1��1EhT I�EAITH <br /> PERI MITISERKES <br /> DAVE NAME OF PROPERTY ADDRESS'WHERE WO GALLONS WHERE CLEANINGS WERE UNLOADED <br /> OWNER WAS COMPLETED PUMPED <br /> - - 9rc f�.j� y T Do Li/rGsets t'Tfy �f aC1C r+ ENTERED <br /> Y <br /> W Jalp / +rf <br /> P ! G' L Ca asL a4 is. j T g s dam'* C t <br /> n S IIF-11 3Y957 <br /> i a <br /> eyes '04. <br /> m <br /> Ln <br /> Cnm <br /> m . <br /> m <br /> m Return by the l26 ol'earb moQlb to I CERTIFY IWDER PENALTY OF P AT THE FORGOLNG IS TRUE AND CORRECT. <br /> Fa viroQaental Healib Div6ion <br /> m 3U Fait Weber Avenee,V Floor <br /> Stmklou,CA 95202 Ar'E <br /> NA OF �� y`�� <br /> m <br /> APPLICANT <br /> sepRep Rev.12M <br />