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Septic Tank and Cesspool Cleaners Report RECEIVEp �� <br /> m COMPANY NAME: o'/ /2- 5 <br /> r Of 3g <br /> m . ''COMPANY ADDRESS:', s b1.,,/ �. a �vS3S 12 2012 i �l9Lt <br /> w REPORT FOR THE MONTH OF: -21g0 .70j2- <br /> ENVIRONME <br /> na DATE NAME OF PROPERTY ADDRESS WHERE WORK GALLONS WHE RE UNLOADED <br /> OWNER WAS COMPLETED PUMPED <br /> -- <br /> tv� 3Y`rr <br /> r✓9n J�/ate �o,�Y / ( !U ✓4c� <br />� �o� �,Y� f..�K� q �o LO a/,• <br /> J <br /> CQ <br /> Q <br /> H <br /> ti <br /> Q <br /> m <br /> 0 <br /> z <br /> r <br /> N o <br /> a <br /> 9 m- <br /> a <br /> y <br /> n <br /> D o' <br />,! cr <br /> r <br /> 9 <br /> 9 � <br /> E <br /> Z <br /> Rehm by the 130 of aCh month to I CERTIFY IMER PENALTY OF PE NAT THE FORGOING IS TRUE AHD CORRECT, - ~' <br /> V Enviroumenhl llenith alvkioo a <br /> 301 Frtl WbAveoue,1�Floor ��1'- Z <br /> ti Slackfo.,CA 95302 � '�— <br /> n <br /> ATE S GNA OFAPPLICANT Y <br /> 9 SepRepRev.11ffl <br />