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CN <br /> a San Joaquin Public Health Services ��5\t�ON��N�F\`nGE Report for the month of 13 <br /> Eironrnentai F4e?lth Serviced �E��\.I._ <br /> PO Box 2009(445 N.San Joaquin St.) Septic Tank and Cesspool Submitted byC <br /> Stockton,California,95209Cl -,--+ . <br /> eaners Report <br /> Fax:4640138 Address: 16S-9 5. QV, <br /> Must be submitted by the 12"'of each month <br /> rn - <br /> 0 <br /> o Date Name of Property owner Address where work was performed type waste gal pumped disposal site <br /> eV� -4asD r4ddre c?.�u2 resp 1660 (��t�i�vl <br /> °� Z-t T atvta " r,u►�i#i S-ru_ gS2o5� <br /> w L, <br /> N - C G Lk-V u 2 -2— gS Zo S rreS. <br /> SCO 4$ .- <br /> -(D <br /> v-` E- 8 -171L S2i2- <br /> S s p It <br /> �p <br /> S �k- �5 2-Lt-(DC) <br /> s Szj K 1( 12_0 1, <br /> 2 � 521 ► c, i CV L3 t t 4 c� <br /> ba l2s M <br /> U — U J Q�Jr 11 2-00 t c� <br /> e l -r�`f�Yl �f�ri oxc S S s c� 0 <br /> W FrCam r-C �t5 (I :r <br /> Q. <br /> -o W,Is �j5 Gve�s� �l M <br /> al it ilS <br /> liGL qS;Q Z- res LaAn0 0 it H <br /> _ 2-7 5 ,t � <br /> 'SE S <br /> - an GSf !l LC) rd <br /> o ,1 t► <br /> The following excerpt from the code of federal Regulations.Sectian 403"Report must be signed by a corporate officer who can legally bind the � <br /> company" <br /> N i certify under penalty of law that this document and all attachments were prepared under my direction or supervesion. -o <br /> rd I <br /> XXOME <br />