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a y <br /> r <br /> San Joaquin County Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report; <br /> ti. <br /> Company's Name. SRCPumping Co. ! <br /> Company's Address. 11350 Kiefer Blvd,Sacramento, Ca.- 95830 <br /> Report for the Manth Of. CP-4�0 'r {+ <br /> Gallons Where Cleanings <br /> t Date Name ofProverty Owner Location C�'t t'Pum Md Were Unloaded <br /> 7-d l V 2- , ULA <br /> - i 72-5 9/ 0 <br /> to C ldsll <br /> le 211 Io✓ <br /> 4�0 C2 <br /> 61 <br /> TXit f.S <br /> / L / 1 <br /> ° <br /> Return by the 12th of each month to: <br /> Date 11inature of Applicant Environmental Health Division <br /> 304E- Weber St., 3rd Floor <br /> &ockton, Ca. 95202 <br />