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• SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> SEPTIC TANK AND CESSPOOL CLEANERS REPORT � j�. �53,1 <br /> IEPQRT* THE MONTH OF r SUBMITTED BY ADDRESS do !R 33 -6 7117 <br /> NAME OF ADDRESS WHERE GALLONS <br /> DATE..' PROPERTY OWNER WORK WAS DOME PUMPED WHERE CLEANINGS WERE UNLOADED <br /> s, r <br /> I <br /> r' <br /> ' 7 <br /> �S _-O ' } <br /> All <br /> } i certify under penalty of perjury that foregoing is true and correct. <br /> 0.h , OQ Qt{ ��n Cclk►� y <br /> H e(4 Z M s <br /> OE APPULANI <br /> acs. —MAY �U, l3ox ice 500 <br /> f aoy �Y7-aYBg <br />