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- 7Qf <br /> San Joaquin County Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report <br /> r <br /> Company's Name: SRCPumping Co. <br /> Company's Address: 11350 Kiefer Blvd,Sacramento, Ca. 45830 <br /> Report for the Month Of'. av 0 <br /> Gallons i Where Cleanings <br /> Date Name a Property Owner Location C B pe-d Were Unloaded <br /> l 0--il/rI 33a�1 �✓n�rf ! R� �/ S?J �! <br /> -52 <br /> / & <br /> - <br /> it <br /> T <br /> f <br /> return by the 12th of each month to: <br /> Date Signature of Applicant Environmental Health Division <br /> 304 E. Leber St., 3rd Floor <br /> Stockton, Ca. 95202 <br /> { <br /> r- a <br />