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t <br /> San Joaquin County Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report <br /> Company's Name: SRC Pumping CO. <br /> Company's Address; 11350 Kiefer Blvd,Sacramento, Ca. 95830 <br /> Report for the Month Of <br /> i <br /> Gallons Where Cleanings <br /> Date Name a Pro ert Owner Location Cir .Pum ed Were Unloaded <br /> Idd <br /> �-/t <br /> 115. <br /> �,t) <br /> G <br /> X.ad <br /> f` A Cy <br /> Return by the 12th of each month to. <br /> Date ignature of Applicant Envtri nmental Health Division <br /> 304E. Weber <br /> St., 3rd Floor <br /> Stockton,Ca. 95202 <br /> 1 <br />