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N <br /> RECEWED <br /> FEB 8 2013 <br /> 5 <br /> P4 San Joaquin Public Health ServicesENVIPGNM�NT L EHEALTH <br /> Report for the month of <br /> Erwironmen-gal Health Services PERIP SERVICES <br /> PO Box 2009(445 N.San Joaquin St.) Septic Tank and Cesspool Submitted by: <br /> Stockton,Ca{ifomia,95209 Cleaners Report <br /> Fax:4640138 -Address:-1 Sg3 ; lrwrf Wav Ahnia-Q <br /> 0 <br /> Must be submitted by the 12'h of each month <br /> 0 <br /> Ln <br /> M Date Name of Property Owner Address where work was performed type waste gal. pumped disposal site <br /> co <br /> c, - Z � °� <br /> 0 <br /> N -Z i <br /> _2- ✓ t iISSS ft§toff ZOb a c� <br /> i E LokwsacS 2�1 D1-4 5ArA C2Q�2 D r 7 t� u u <br /> Ui 2 a ' - SZ3l C�r2 S� 17,oD c{ I <br /> La._ Z1006 E - fa{v} 5t Silk- gt52.05 6r603e: <br /> 9-C gS21 �t <br /> U <br /> 4-5 e, are•Q NM7d AVC 5Lk, °1520 Ye '&n-f O f C 0 �` � <br /> Hz <br /> W { `r fr loon tt N � <br /> aV11 kZLLa✓1 ' C G C M <br /> 11 RSCS LH 40Lq a� <br /> L 8 2S 2'l L) �CPOU i, rr o <br /> o 6e- <br /> cC �(� 3 ' r SZIp {i <br /> Ct l'1 L qS It i i1 k <br /> The folilowing excerpt from the code of Federal Regulations,Section 403" <br /> o company' g Report mast be signed by a corporate officer who can Iegafy bind the <br /> certify under penalty of law that this document and all attachments were prepared under my direction or supervision. <br /> o <br /> w <br />. . . . . <br />