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""u.uu"4ulu a.uuuLr rruru-un illClltiil "Ciillu 1ljVj;S, " <br /> Septic Tank and Cesspool Cleaners Report rel L <br /> m COMPANY NAME: Aa- r'C� { <br /> COMPANY ADDRESS- s COS,! <br /> w REPORT FOR THE MONTH OF: 2000 <br /> a <br /> DATE I NAME OF PROPERTY ADDRESS WHERE WORK GALLONS WHERE CLEANLMNGS WERE UNLOADED <br /> OWNER WAS COMPLETED PUMPED <br /> ISS �pf STs <br /> IAV <br /> L�iJ r L [!" Y !-r Vq ��.rC rrG(pti /� l� t`RC ♦ <br /> <1 <br /> ad9F/Or <br /> 4�O Aa <br /> (�. <br /> r` <br /> v <br /> m <br /> v <br /> N <br /> L0 <br /> o-+ <br /> CD <br /> C'4 <br /> m <br /> m <br /> ao <br /> m <br /> ReNrm by the 120 of each rno0th to I CERTIFY T TNDER PENAL F PE HAT THE FORGOING IS TRUR AIVI}GORREC I. <br /> N Environmental Health Division <br /> 304 East Weber Aveuue,Yd Floor <br /> Stockton,CA 95202OATE- <br /> rC <br /> SI NA OF APPLICANT <br /> Lo <br /> CD Sepkep Rev.12l99 <br />