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--- ---5---- --­0 — ..vuuaruaaa ucww u aia nmvu <br /> Septic Tank and Cesspool Cleaners Report Q y <br /> COMPANY NAME: <br /> m LCOMPANY ADDRESS: s< e d o rs ( �. `l s'y+S (7 <br /> REPORT FOR THE MONTH OF: New. ,21M dot 2- <br /> 11 <br /> a DATE NAME OF PROPERTY ADDTCOMPLETED <br /> S WHERE WORK GALLONS WHERE CLEANINGS WERE UNLOADED <br /> J/ OWNjERJr 1 ,� WAS � - PUMPED <br /> lf `I�Cf �ynTl!//f�vJ/�"p`t �%Ial Y���'S �4 �64 �J <br /> b i <br /> Sac%/b• �:! 9 �J'�j t� <br /> CQ <br /> ®� z, 3 <br /> a <br /> IV <br /> ram <br /> m <br /> p �- <br /> 0 <br /> HEALTH Q- <br /> N EN PERMITISER�CE a <br /> a <br /> m - <br /> 0 <br /> Ln <br /> Ln <br /> m <br /> to <br /> m <br /> r o <br /> m <br /> E <br />.Cq- <br /> Return by the 22"9f each mouth to IC IFY IN-Mit PENALTY OF PE • HAT THE <br /> Environmental Health Division GIS TRUAND CORCT. <br /> ~ <br /> qq f �9 <br /> ]ei Eaal Weber AreouS]~Floor /t�l�/' �L - / fjy <br /> f\~V Slocktoo,CA 952DS ATE SI NA OF APPLICANT C f// <br /> StpRep Rte.12199 <br /> X <br />