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,Jau ,Vaal aw a.vumf uu.................. — —....._.... <br /> Septic Tank and Cesspool Cleaners Report er {y,l L <br /> m �f <br /> mCOMPANY NAME, /T A `' �L1,OI 0COMPANY ADDRESS: 1 <br /> a REPORT FOR THE MONTH OF: _ r6 ,2m ;?v12 <br /> d DATE NAME OF PROPERTY ADDRESS WHERE WORK GALLONS WHERE CLEANINGS WERE UNLOADED <br /> OWNER WAS COMPLETED PUMPED J <br /> W--/ p?-3,9 7�f�c� CEIy�n <br /> Y <br /> MAR 0 <br /> J , <br /> &&IRONML NTq <br /> 003EL <br /> y 9r <br /> r� g •, <br /> Yric,. ,�i,cs v• r �r10 <br /> n <br /> N <br /> V <br /> m <br /> Cr <br /> N <br /> lT <br /> m <br /> N <br /> m <br /> m <br /> N <br /> CD Remre by the 12"of eoeb momb to I CERTIFY UNDER PENALTY OF P HAT THL F RGOING IS TRUE AND CORRECT. <br /> � Bav400meatd Hwlth nlvisioo t <br /> m 5D4 Ent Weber Avenue,3'e Floor <br /> Stocklco,CA 95202Ate- S NA OF APPLICANT <br /> M <br /> m <br /> SepRep Rev. 12199 <br />