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San Joaquin County Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Deport 1i <br /> Company's Name: SRC Pumping Co. <br /> Company's Address: .11350 Kiefer Blvd,Sacramento, Ca. 95830 � <br /> Report for the Month Of, l <br /> 6 <br /> GaQons Where Cleanings <br /> Date Name ofProperty Owner Location C Aimed Were Unloaded <br /> LY <br /> u 3aao ,l <br /> 36 <br /> S`� <br /> Is <br /> �1 <br /> r. <br /> /a~/v Return by the 12th of each month to: <br /> Date Signature of Applicant Environmental Health Division <br /> .304E. Weber St., 3rd Floor <br /> Stockton,Ca. 95202 <br /> E <br />