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San Joaquin County Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report 7. - <br /> Company's Name: SRC Pumping Co. T <br /> Company's Address: 11350 Xiefer Blvd,Sacramento, Ca. 95830 <br /> Report for the Manth Of.• <br /> r 6GallonsWhere Cleanings <br /> Date Name o Pro ert Owner Location C„�'t Pum ed Were Unloaded <br /> lie <br /> 30 Lv�l / /r i! <br /> /� <br /> ig <br /> -Zv <br /> Q 5 <br /> a <br /> Return by the 12th of each month to: <br /> Date Signature of Applicant Environmental Health Division <br /> 6 <br /> 304E. Weber St., 3rilFloorENT!DT 2 3 200 <br /> Stockton, Ca. 95202 <br /> ry <br />