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(Y) <br /> JUN 0 2013 <br /> S_an_Joaquin ftbk Heafth Services <br /> EMA nn Heatth &LVIU Report for the month otf' (Y �1✓ p/;N�^AL HS;.i <br /> PO Box 2009(445 N.San '''i`/` '.t'(('r'S <br /> n st•1 Septic Tank and Cesspool Submitted bVr AAA <br /> �;�G. <br /> Stockton,�,95M9Clns Report <br /> Mu ea <br /> 4b4013$ Address. JOS93 5 _rr�+'� �; Abii.r�a <br /> o Must be surdtted by the 1 z�'of each month Ad <br /> o _ -Ln 5 23 ; <br /> / ?-IS rg ?Oil <br /> r-, i Date Nara a of Property Over Andress where work was performed type waste gal.permped Idispasal site <br /> rn - _M=Can FWS ?TjC3D <br /> 0 <br /> A N of <br /> N *L00,0E- S +I a CC <br /> f� St Don <br /> (t <br /> CIOU <br /> '-` K!- � p ►1 K �t � <br /> 51 ct5 it 4 <br /> Z LI a ZD c o <br /> 1404 <br /> U 5--C <br /> H J0156 CkaofeA 'L 1rgS (tow- <br /> 04 li <br /> z <br /> T 3i a �� 1000 <br /> rt y <br /> .,5-2C) G s� <br /> S 2-4o(DCi V cn <br /> DMI h IS'49 a Stk �? it <br /> " gb E_-Mn 5t- s gszbs 1( �r WOO �� <br /> ClLn 2 -7 �s M D <br /> �?3Bog G r <br /> (g r__44i-jyKqxrLn <br /> S-Frc.2M 0 <br /> ,i52ls� i(, Ov it v <br /> 5=i se�o <br /> 1 �lS IL 11 tfo ct <br /> -i The folloWM excerpt from the code of Federal Regulation,Section 403"Report must be signed by a co <br /> N rpomte offer wt*can lepf bind the <br /> o t certffy ander pena ty of law that this document and al attachments were prepared undermy direction orsupervislon. <br /> �� <br />