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HEC <br /> OEC 10Z009 <br /> ENVIRONMENT <br /> H - <br /> San Joaquin Public Health Services <br /> CL -EngJ onmental H a++�► 5ervlces --��` Report for the month of <br /> PO Box 2009(445 N.San Joaquin St.) <br /> Stockton, california,95209 Septic Tank and Cesspool Submitted by: <br /> Fax:4540138 Cleaners Report <br /> Must be submitted by.the.12"of each month Address;..16 <br /> rn <br /> d Date Name of.pro ert Owner _. <br /> P y =.Address where Work was Pel F r d- - <br /> rn ��_:?u�. r _ type waste gal.pumped disposal site <br /> r�-. 2-000 <br /> 1 l�tc1� Cil Lo rucjsz .c -sem lvr)Q77— <br /> �r <br /> ffik-LQ <br /> 6 [raft COQ C.' S i <br /> L <br /> 0 <br /> 0 <br /> r <br /> o l <br /> 7 <br /> a <br /> U <br /> IL <br /> W <br /> U <br /> w <br /> The following excerpt from the code of Federal Regulations.Section 403 "Report <br /> company" must be signed by a corporate officer who can legally bind the <br /> I certify under penalty of law that this document and all attachments were prepared under my direction or supervision. <br /> coC) <br /> 0 <br /> m <br /> 0 <br />