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- __ __-...J .,...u.,u,u,.0 awa taGAqu ✓araamu <br /> Septic Tank and Cesspool Cleaners Report <br /> COMPANY NAME, <br /> m COMPANY ADDRESS: <br /> w REPORT FOR THE MONTH OF: /Q. 2000 i 2- <br /> DATE <br /> DATE NAME OF PROPERTY ADDRESS WHERE WORK GALLONS WHERE CLEANINGS WERE UNLOADED <br /> A.3/ OWNER /] W?AS COMPLETED PUMPED <br /> LAl � 7 /Yec�ll+� � 6 rf� <br /> g�} �Y �a ey ivy yoa! u/ 't's•� �.(/„ �00 /, -_ <br /> J6' / v v -/ 0 WiC l/7 4l l e/ <br /> fA <br /> O <br /> a <br /> a 3 �S� t! ; , . S1IU <br /> of INECIFNIM <br /> r <br /> N <br /> v <br /> m <br /> e <br /> N sne�[II <br /> m <br /> N <br /> N <br /> m <br /> r <br /> m <br /> Rewro hyme F2waleae6 momh to I CERTIFY ANDER PENALTY OF PE <br /> m Ewv',roamralai Hnllh Oivuiow HAT THE F RGOING IS TRUE AND CORRECT, - <br /> 309 East Weber Avenue,7A Floor - D��Z <br /> m ScocluwwCA 952p2 <br /> SI NA <br /> ATE OF APPLICANT Y <br /> m sepRep Rev.17199 <br />