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r# � RECHYED 0 : <br /> OCT 1 .2 2009 <br /> San Joaquin Puglic_Health services_ ENVIRONMENT HEALTH Report for the month of.5aiev)qiLeE �f <br /> Q a •ces PERMITISERVICES <br /> PO Box 2009(445 N.San Joaquin St,) Septic Tank and Cesspool Submitted by,AAA Sep7re., lt��. <br /> Stockton, California,95209 Cleaners Report <br /> Fax:4640138 Address:1O593 S,Atrty!' Wa <br /> Must be submitted by the 12'4 of each month <br /> rn <br /> 0 <br /> Date Name of Property Owner Address where work was performed type waste gal.pumped disposal site <br /> CO <br /> I o <br /> Z =f S71c. q L2,L rg 57 ' ZOE) <br /> r v O 1c & Q Oq W YCg 5'- 7215` t r A)(-16) <br /> CLQ l`7 2l� '3S 74, #e4G1 11'C 179Z-7 <br /> i = <br /> In <br /> C` rr <br /> ')S-3 2- 5 G cid <br /> &Ih-1 C01krZ, .� .Gl is �?� 6 s OUv fr E <br /> al <br /> - e (cs- 27`���� �cr.� 5�.�'szJ rzes1c6'aza& r' � <br /> O-ly di e.. 2,b c i fc) l ) t s z-ofo I 9?UU <br /> 377 cA-- 2L 67S LU <br /> o123 3 t �r 2 tr <br /> � i. I �� ae� 15D . A e ST- 4 /I !1 /WZ) tt u <br /> t , -Z C 5' lei r607 St- s ct�,lr-�,z /Z�1 /L <br /> a <br /> v q-zz 1 470 Z Fte CouLL1 <br /> a LM rGara.S "Z1 41'J✓p 5'�-dG �7:SFZi rr�S ZG1Z /1 r� <br /> co t�' d <br /> 2 !/ <br /> 5-/1) �1 l�Yfl�l .SZ 7152/ 1 t !! Cf Oi y <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 /> company" ' <br /> LO I certify under penalty of law that this document and all attachments were prepared under my direction or supervision. <br /> 0 <br /> M 2�/ -;�CD <br /> Io� <br /> U <br /> 0 <br />