Laserfiche WebLink
SAN JOAQUIN LOCAL• EALTH DISTRICT <br /> SEPTIC TANK AND CE 1 POOL CLEANERS REPORT5`3 <br /> REPaRT' FOR TRE MONTH OF fi L� SUBMITTED BY ESS l o Tr 33 b 71-17 <br /> ENTERED <br /> NAME OF <br /> ADDRESS WHERE• GALLONS -- --- <br /> DATE, PROPERTY OWNER WORK WAS DONE°' "' PUMPED 11HERE CLEANINGS WERE,UNLOADED <br /> . - <br /> s <br /> ------- 17c _. .. . <br /> D - <br /> d __... -_.. . <br /> �� � �•u [t, t <br /> 1:7. <br /> 'ALIG 1.2 2008 <br /> t f lLA^E[J, EAlTei <br /> PERMITISERVIGES <br /> I - <br /> 055 r 1 - - -- <br /> �,j✓ 109 6�1 <br /> / - <br /> _ that foregoing. is, true and correct, <br /> 5Qn �c{ Li 'n Co Lt VL�-y I certify under`.-penalty of perjury, <br /> RE OF P <br /> PLICANI <br /> 0. 13ox 1 c o 500 <br /> 6 00Cu.� 7'l?lu.�rk. -- wJ �cc.d�cicA CA �/ - .. <br /> 3, / R53 <br /> o?o`� 3 Y99 _ <br />