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g' M A5d v+ <br /> . SAN JOAQUIN LOCAL HEALTH DISTRICT ` �� /=07t"4la/'r5c' <br /> 13.bx f co y <br /> SEPTIC TANK AND CESSPOOL CLEANERS REPORT 153 <br /> REPORT THE MONTH OFyr'y SUBMITTED BY ADDRESS v X33 _67'17 <br /> -:NAME OF SADDRESS WHERE ! GALLONS <br /> DATE- PROPERTY OWNER WORK WAS DONE : J -_- PUMPED WHERE ' N MITPUMADED <br /> /1 s L + <br /> RD <br /> J�, nn <br /> ' rwl <br /> ' 1 E_1 <br /> �71 194 <br /> AUG l l oSS. 6 .O c + <br /> ® (!/ l JP ® ENViRONNIENT HEALTH <br /> e . <br /> 562 <br /> Som ToQQuin ;. .Cntin -Y I certify under penalty of perjury that foregoing is true and correct. <br /> -�G�''n G F PPLICANT <br /> ®O 06L4,7L 7')'J U �(J. I30X 104 500 <br /> 6d C�91 q5-361 <br /> doll 8-Y7-aYS9 _ � --- <br />