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. SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> SEPTIC TANK AND CES OOL CLEANERS REPORT <br /> 1EPORT Ffl 2 THE MONTH OF�� J�E SUBMITTED BY , ADDRESS J n �R 33 67`0 <br /> NAME OF ADDRESS WHERE GALLONS <br /> DATE. PROPERTY OWNER WORK WAS DONE PUMPE-DWHERE CLEANINGS WERE UNLOADED <br /> --, <br /> � 67 C2 <br /> PJ lAlk <br /> o <br /> o k' <br /> i <br /> n F <br /> 10 <br /> G <br /> y <br /> t. <br /> {y, <br /> i S <br /> - fP <br /> �Qn^ da �`� Cauv� " I certify under penalty of perjury that foregoing is true and correct. <br /> �tvLl Rn im�ed-44 1"l�liG h s <br /> oo �a ' �n arm. .$, e �' c1 1 oa 500 <br /> cz 12�`rr► �1'ra �-�o 0 / �°` q5361 ,, <br /> 536/ ,' <br /> Roy "7-�Y��_ _ .__ <br />