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SAN JOAQUIN LOCAL HEALTH DISTRICT MA560 15917 e fq 0/' 5'c-' <br /> Box ooy <br /> :SEPTIC TANKAND CESSP OL CLEANERS REPORT ® lP_u q53� <br /> REPORT F(* THE MONTH OF 5 L 0 SUBMITTED BY ADDRESS '- U G! 33 -671-17 <br /> --- <br /> NAME OF ADDRESS WHERE GALLONS <br /> DINE. PROPERTY OWNER WORK WAS DONE PUMPED WHERE CLEANINGS WERE UNLOADED <br /> � S ? <br /> . ._ ENT'D <br /> `n I certify under penalty of perjury that <br /> foregoing is true and correct. <br /> SQn JOA t,,cCukn.�'Y � <br /> �m ev��'�� N-�u�f G► ' <br /> k �l��, v►�e %�JG t - G F P <br /> 00 c�4J urm. — � �C�. IPLICANI <br /> 3ox I coo 500 <br /> , vc l2 `ry, f�� G53a� i D �`��a/ �a q,6361 <br /> 1 �2G`1 S-Y7-,P <br />