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u[au UarAi4"Lu %,wrA"4a` "ITwIvU <br /> Septic Tank and Cesspool Cleaners Report <br /> COMPANY NAME: �°�f�f�. 5 C <br /> m COMPANY ADDRESS: ;Po,� S c r D"4, O a-> lacy �5 3S <br /> R.EPEYT FOR THE MONTH OF:_ kti ZU69 `t <br /> of <br /> A DAME O> PROPERTY ADD SS WHERE WO GALLONS WHERE CLEANINGS WERE UNLOADED <br /> a OWNER WAS COMPLETED PUMPED <br /> W <br /> Ll <br /> A FIT= <br /> 069 <br /> wcr W � p <br /> �ILot <br /> �4C {YgPr�w � D f� TQC <br /> J L�t,14 f/ <br /> n <br /> 00a <br /> a <br /> N <br /> N <br /> V <br /> w <br /> N <br /> LD <br /> 0� <br /> N <br /> M <br /> Return by the EIu o!each uonlh to I CERTIFY TINDER PENALTY OF PI; NAT THIz RU NNG I$.TRUE AIYD CORRECT, <br /> N Enxiroomenial Healf4tlivisiun <br /> CD CD 304 Eaai Weber Avenue,3r°Ftoor � f // <br /> Siuckton%CA 95202 ATE. SI NA APPLICANT / <br /> m SepRep Rev.1Z199 <br />