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W <br /> n. San Joauuin Public Health Services Report for the month of er 20 <br /> Environmental Health Services <br /> PO Box 2009 (445 N.San Joaquin St.) Septic Tank and Cesspool Submitted by:Ao4A S2DfT- Anc. <br /> Stockton,Caliifomia,95209 Cleaners Report <br /> Fax:4640138 Address._ PD-, Fi7mch(b-n';-P <br /> 0 <br /> Must be submitted by the 12'h of each month q 15 251 <br /> 0 <br /> Ln <br /> C,,) Date Name of Property Owner Address where work was performed type waste gal. pumped disposal site <br /> 225 e j j ►< <� << u <br /> U �c (� <br /> ri <br /> JI-131 MWI RA far. u S 5D!S �{ I I tt it <br /> a <br /> r tk tt ! t 4 m <br /> -N40 S, F C C << r, ti U <br /> H � o <br /> P4 <br /> Zi0 rt tt T <br /> 524 <br /> it it <br /> - ,WOE C"j <br /> ALL i S R52t5 t1 I( Zkr t( r� <br /> o j _ � { 66Z-3f << <� ?� r t rt <br /> r r< c�6s b 1 S,6-1 (� 95� <br /> CO -7sThe following excerpt from the code of Federal Regulations.Section 403 "Report must be signed by a corporate officer who can legally bind the <br /> CN company" <br /> I certify under penalty of law that this document and all attachments were prepared under my direction or supervision. <br /> 0 <br /> U <br /> . . . . . <br />