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�_. ..vv.av-- vvuY\J ai4rU VY\114Y\q\ <aGYYU L1141\V\l <br /> Septic Tank and Cesspool Cleaners Report <br /> rn COMPANY NAME: <br /> ti Y 8� <br /> m . :COMPANY ADDRESS: s e . <br /> w REPORT FOR THE MONTH OF: Y 100 9 ?c,2— <br /> EL <br /> a DATE NAME OF PROPERTY ADDRESS WHERE WORK GALLONS WHERE CLEANINGS WERE UNLOADED <br /> OWNER WAS COMPLETED PUMPED <br /> wC3o7 Wei, 51-10C1r'lel> <br /> r <br /> "'Clel" l Ali 742 1 <br /> VAX/ pG0.0 <br /> o_ <br /> 0 <br /> z <br /> r_ <br /> Q- <br /> N r <br /> a <br /> rn .� <br /> N <br /> l0 r <br />(T <br /> N O <br /> Ncl <br /> r• <br /> r <br /> N <br /> lD � <br /> m <br /> v <br /> E <br />.N-t Rethro by the t2a of cub moth to <br /> m I CERTIFY I ENDER PENALTY OF PE <br /> N Eavironmrn(ai Health Division HAT THE RGODNG IS TRUE AND CORRECT, <br /> 304 East Weber Avenue,3'a Floor <br />\ Stockton.G 95702 <br /> AT <br /> 0 S NA OF APPLICANT y� <br /> SepRep Rev.12199 <br />