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ENTERED � <br /> - JAN 0 7 20'0 Report for the month ofEnviWUmgpt <br /> �- <br /> SanJoaquin_Public Health Services r C= <br /> al Health c ENVIRUNIWENT HEAL H <br /> PO Box 2009 (445 N. San Joaquin St.) PE �t �esspool Submitted by: <br /> Stockton,California,95209 Cleaners Report <br /> Fax.,4640138 Address: 16S'23 SA rf 'Alan, Mcirt�C�? <br /> Must be submitted by the 12'h of each month ._ -.. <br /> 0 <br /> lf. C'00 Date .,s ...Name.of.Property Owner. . .- .Address where work was performed T -._ ._.�..._ <br /> rn , <br /> p type waste= _'� ~gal:pumped � � disposal site <br /> N "� '� - r •rte- f iee F-C, 4 - .3 i JfG��lr <br /> / j r-,-t 45--76 Lr--: K#ir { �rr � t( (t <br /> SSC is .i— /Jo V Cek&tLe 57-k- <br /> ion <br /> so y <br /> Z•-j LgL• - ' 2 d {� - <br /> LLJ <br /> 0 k PAZ <br /> 0I ' y r z I DA--e <br /> �� <br /> i= �L� �- �L. ci -t✓ iS' ' arc E� <br /> Wa J� -• <br /> loc <br /> aF �L� Jr <br /> The following excerpt from the code of Federal Regulations. Section 403 "Report must be signed by a corporate officer who can legally bind the <br /> CD company" <br /> I certify under penalty of law that this document and all attachments were prepared under my direction or supervision. <br /> 0 <br /> O <br /> C <br /> IO <br />