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San Joaquin County'Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report ; <br /> Company's Name: SRC Pumping Co. <br /> L <br /> Company's Address: 11350 Kiefer Blvd,Sacramento, Ca. 95830 <br /> Report for the Month Of.. <br /> #f <br /> �GaUons Where Cleanings <br /> ✓ Date Name o Pro er Owner Location C 'Pum ed Were Unloaded ' <br /> &/ `G C �� <br /> &v <br /> J <br /> r. <br /> By6 W. L . <br /> 3x-33 <br /> ri✓ V Uv <br /> 1� IIJC4Jad <br /> A <br /> 11 <br /> 8L. zZ/gea f. /UV <br /> Return by the 12th of each month to: <br /> Date Signature of Applicant Environmental Health Division <br /> ME. Weber St., 3rd Floor <br /> Stockton, Ca. 95202 <br />