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San Joaquin County Environmental Health Division j <br /> t, Septic Tank and Cesspool Cleaners Report { <br /> 4� <br /> i <br /> Company's Name: SRC Pumping Co. <br /> Company's Address: 1 U50 Kiefer Blvd,Sacramento, Ca. 95830 <br /> Report for the Month Of •9�/� .1 , d O <br /> i! <br /> I' Gallons Where Cleanings . <br /> Date Name afProyerty Owner Location ON Pum ed Were Unloaded <br /> /-�5-p l?7e�G�r✓r9-C/J �_ <br /> �� �/ ! / <br /> r�td•Jc .9VL) 16-0161 z i <br /> a X� 33 W C �/C 6-21 J <br /> vx <br /> ZA/ J �� <br /> 61 <br /> 17 <br /> _ Return by the 12th of each month to, <br /> Date Signature of Applicant Environmental Health Division <br /> 304 E. Weber St., 3rd Floor <br /> Stockton,Co. 95202 <br /> 1 <br />