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4, RECEIV& <br /> w <br /> San JQNuin Public Itealtfi Services FEB 0 4 2015 Report for the month of 20 i 5 <br /> Emimpmental Health Services ' . <br /> a PO Box 2009(445 N.San�Foaquin St.) Septic d9�lll ��LTk Submitted by:L � r „ <br /> Stockton,Carrfcmia,95209 CleaWE VICES <br /> Fax:46401M A&km- I 05W 3 S 1 rw rf , <br /> Must be submitted by the 12*of each month <br /> Date Name of Property Owner Address where work was performed type waste gal.pumped disposal site <br /> CY) - n - iota s gs2o CZvo k <br /> 1-S LLga kdfomi ne_. Z2-33 GrztnAsty q 52D 1 Z.o o ►� <br /> o - 5 7 ►� FC 3 re 6i 4 <br /> N0` - 4� h <br /> 1-5- RdLwj 2� U <br /> .e owmaS-21 1L tt w G tt 4 <br /> 2 fCG�YI 2 <br /> 1-7 L 1 56L � t <br /> —7S S 520 l� t� �t7t� r` <br /> St Pa - 5 t Boa <br /> H l It T7 9s2c>5 Yes � k <br /> H "-' oo . <br /> w .1 ' (03 C452-10 2,D 0 <br /> C-1 <br /> St- Q52-,05 Yi zoo <br /> ZJS r A l(a 00 it <br /> -Q Lbwt t {-M-S 12`t�E i�I S 57_t S +�eSKka I C)()0 cc k <br /> N The folkywing excerpt from the code of Federal Regulatior m Section 403"Report must be signed by a corporate off#cer who can lega8y bind the <br /> compaw <br /> Ln I certify under penalty of law that this document and aN att dmients were prepared under my dkection or supervision. <br /> o -- <br /> 2- 7-j 5 <br /> o <br /> A - - <br /> Ga <br />