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C" San Joaciuin Public Health 5ervices Report for the month of <br /> CL <br /> EnvironmoLal Hgaltb SeUices <br /> PO Box 2009(445 N.San Joaquin St.) Septic Tank and Cesspool Submitted by:AAA S_Wa f a— I� 1C, <br /> Stockton,California,95209 Cleaners Report ��/ <br /> Fax:4640138 Address: 18583 frWr'f WQV, <br /> Must be submitted-by the 12th of each month <br /> o - <br /> -` CO []ate Name of Property Owner - =gddress where work was performed-.1. - type waste. -� �gat.-pumped= disposal site LL <br /> N r0. <br /> y 1• <br /> livulz <br /> l <br /> R r <br /> e ti <br /> Lf <br /> r ft <br /> f✓ � t <br /> s Z � � 4 <br /> 1� t� <br /> ryw <br /> 0 <br /> 0 <br /> rya <br /> z <br /> a <br /> U <br /> d <br /> uJ <br /> CO <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 /> CL company" <br /> 0 1 certify under penalty of law that this document and all attachments werei2gepared under my direction or supervlslon. <br /> o <br /> 0 <br /> m <br />