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RECHVEDD <br /> FEB ENTER D <br /> San Joaquin P lic Healt Se ices ENVIROWOENT HEA <br /> CL TH <br /> �DYlL4_ ental �lealth 5ervicP PERMIT/3"t a month of - 'tt,RQi'[ 4 <br /> PO Box 2009(445 N.San Joaquin St.) Septic Tank and Cesspool <br /> j Stockton,California,45209 p Submitted by: C I <br /> Fax:4640138 Cleaners deport ' <br /> Must be submitted by the 12`h of each month Address: 4 S Q <br /> m <br /> Date.__.. Name of pro a <br /> p rty Owner-°u° �Rddres's where uvork was performed - <br /> f. �� type waste gal,pumped disposal site site <br /> Q �t"tF Id ivy 22.10 IJ, I^�Sl�j+tipr` �C�G k <br /> ' l <im i 44A c S y l u u <br /> F Ei u Li c, <br /> [ it r U <br /> 95 utills~ 1� <br /> 9 <br /> (D t Rar2�e 2 tt'S`dorl ri y <br /> �0 k y <br /> ifi Sri <br /> IVEC i —r C. ..L �� 62D rr <br /> �� xtiiSt C(5 � Dp ii y <br /> 472-4 OlemSfi� �A 3 aG r1 <br /> 3 Q un & <br /> LU <br /> t Er— Cc it (� <br /> The following excerpt from the code of Federal Ke ulation.S i� [ � <br /> company" B Section 443"ftepart must be signed by a corporate officer who can legally bind the the <br /> a I certify under penalty of law that this document andall a ehments w <br /> prepared under my direction or supervision. <br /> CO <br /> LL— <br />