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N <br /> RECEIVED <br /> San Igaauin Public Heafth Services JUL 2016 Report for the rnonth <br /> ErmEo snow Heatth SWdM -NVIRONJI ENTAL=Ty <br /> aAA <br /> f7f1C � . <br /> , PO Box 2009(4,45 N.San Joaquin St.) PERM"W nd Cesspool Sutanitted by:�} <br /> Stocktan,California,95209 Cleaners Report <br /> Fax:4640138 Address:_1bSS� �t1"f� 1 VI � <br /> Mast be subrmkted by the 12'h of each month <br /> Date Name of Property Owner Address where work was performed type waste gal.pumped disposaf.Skte <br /> O / S <br /> o <br /> Ln �t <br /> ZV352co <br /> 1st UU <br /> iJ7 <br /> r !f ��7 <br /> 0 � + <br /> e� <br /> 523 res c /zoo <br /> S � r, 0 r se_ 0 �z <br /> UU G> <br /> v t C CDU �� o <br /> H S <br /> W r I�dn cc 5`L <br /> — Cr S ZUG� <br /> Cr,U i e o <br /> y <br /> t i/��iYirl 23, U l� <br /> 0 <br /> The following excerpt from the code of federal Regulations.Section 463"Report mast be signed b/a corporate officer who can legally bled the <br /> company' <br /> I certify under penatty of law that this document and all attachments were prepared under my direction or supervision. <br /> o <br /> N 1— <br /> co � <br /> O > <br /> r-i <br /> U <br /> y�y CY <br /> r Y <br />