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SAPS JOAQUIN LOCAL HEALTH DISTRICT <br /> SEPTIC TANK AND CESSPOOL CLEANERS REPORT 0, /30X 00Y <br /> Q <br /> REPORTFOR THE MONTH OF,. 5( 10 . SUBMITTED BYAADDRESS J <br /> --- j <br /> A nn ift it <br /> NAME OF ADDRESS WHERE GALLONS <br /> DATE. PROPERTY OWNER WORK WAS DONE PUMPED ti WHERE CLEANINGS WERE UNLOADED <br /> c Gt/ 57`- Zv <br /> &a MeAl A/c 1 ^ <br /> OCIS49' <br /> l dC ,_ F <br /> ru' <br /> I certify under penalty of perjury that he foregoing is e a d correct. <br /> -a-$- c, <br /> �D laQ�f f ; SIGURE OF APPLICANT <br /> '0 0 t&,d "Y3'�.u.vrr 4: <br /> goo <br />