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wwu svwy w�u rwuuLJ a'aL•L�vLLLL4LL LqL�1GgeLLL YLt LJIVLL <br /> Septic Tank and Cesspool Cleaners Report y <br /> mCOMPANY NAME: <br /> COMPANY ADDRESS: sem, _r o s lGr Sas f l <br /> REPORT FOR THE MONTH OF: <br /> IL RNAIIE OF PROPERTY ADDRES:F011 ERE WORK GALLONS WHERE CLEANINGS WERE UNLOADED <br /> NER / WAS COMPLETED / PUMPED <br /> . I d '? �t41-1 <br /> .9, y0// <br /> W b <br /> Ln <br /> J <br /> N <br /> a <br /> a <br /> Oda <br /> a <br /> r <br /> r <br /> N <br /> O <br /> 0 <br /> V <br /> N <br /> T <br /> 0 <br /> N <br /> 0 <br /> l9 <br /> mRe1um hp Ibe 12°of eneh month 10 <br /> I CERTIFY I NDER PENALTY OF PE HAT THE FORGOING IS TRUE AND CORRECT, <br /> N Eoviroo meotLl A,,, ,3v ion r] 1 <br /> r 3h4 Fall Weher Araone,lre Fiaor /_/Z /C <br /> 0 Stnh[oa,CA 5M02 ATA SIGNA OFAPPLICANT <br /> `C <br /> m S"Rep Rev.12199 <br />