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JUIN 0 Y 2009 <br /> ENVIRONMENT HEATS [Tr, . <br /> �- San Joa uin Public Health Services PE LIPSEIRVICES Report for the nth of <br /> a <br /> Environmental Health-Secy. <br /> PO Box 2009(445 N.San Joaquin St.) Septic Tank and Cesspool Submitted by:AAA LeViffa, AOC, <br /> Stockton, California,95209 Cleaners Report <br /> Fax:4640138 Address: 63$ rf klaV, <br /> Must besubmltted by the 12'x'of each month <br /> 0 <br /> 0. = Dateperty Owner- Address where-work was performed,. �.CF) . .., type.waste._� :.gal..pumped�._.... : disposal= 3Vame of Pro —�-- - <br /> CF) �i-o� atm Sb {Yel mac" OL Jo_ r 5 fis �'esrde:z f <br /> N 'M572. l4 %1 .-,2, , 5S-"?VS' <br /> Z�g /--/}cl i f- d - ' 9 12 !r ,, rr rr <br /> � 'r I 1! I <br /> Jb �l�LG( 47•])J !e 1! /206 <br /> 1 �]Z Cf1le IS-2-5 Ir 1r rr �e p <br /> ff S�%- J � N ►1 QLD} !r rr <br /> Jr! /+' 1 - Y�1 l lir[ [� r Jam$ ri rr "1. O Ir I <br /> I'm o 796-3 eW�'-'.+fie-/Yrt (�99� ,C/` ; j it fl 610 <br /> L P? �i r7 n l r r rr X06 rr ►i <br /> W '}� `(.Z4 C� 1 '� r Ji I r�-- 7 u r1 N 1�v L� <br /> O Lai <br /> O <br /> ry <br /> U <br /> F- <br /> d <br /> ua <br /> U) <br /> The following excerpt from the code of rederai Regulations.Section 403 "Report must be signed by a corporate officer who can legally bind the <br /> company" <br /> CO <br /> `'' I certify under penalty of law that this document and all attachments were prepared under my direction or supervision. <br /> 0 <br /> CD <br /> r `rte <br /> CD <br /> a <br /> - -tel-•-...-�+�J - �ti-- -`---'�-- ----' - - --- • - <br />