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Septic Tank and Cesspool Cleaners Report }"l L <br /> m COMPANY NAME; `" 1 4 .1 5 ���r.013g <br /> m COMPANY ADDRESS: s e n d o a wS3s' <br /> REPORT FOR THE MONTH OF:_ ,2ftO-d0/2- <br /> DATE NAME OF PROPERTY ADDRESS WHERE WORK GALLONS WHERE CLEANINGS WERE UNLOADED <br /> OWNER WAS COMPLETED PUMPED <br /> ell C 107 <br /> JAN 042013 /+ pry�S <br /> Yt t. ryee o.0 �87 `R C <br /> _KTAL1104" <br /> ENVIROMITISERVICES oc// '/�r[� <br />(f) L <br /> Li <br /> a <br /> 0 <br /> 0 <br /> IL <br /> a <br /> N <br /> N <br /> O� <br /> N <br /> O <br /> Z <br /> d <br /> L[l <br /> n ,r <br /> N <br /> � N <br /> m <br /> Q <br /> N m <br /> Ill <br /> T o' <br /> 0 c-r <br /> lY <br /> a <br /> a <br /> ul ;d <br /> v <br /> E <br /> H <br /> Remro by the Ile or eneb month Io I CERTIFY I INDER PENALTY±OF PE AT THE F RGOING IS TRUE AND CORRECT. - <br /> t9 Environmental Redth D"loo - <br /> V <br /> 0 30e fiat Wehar Avenue,l�Floor � <br /> m stneheuu,CA 95202 ATE SI NA OF APPLICANT <br /> to SepRep Rev.12199 <br />