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San Joaquin County Environmental Health Division <br /> J Septic Tank and Cesspool Cleaners Report s <br /> Company's Name; SRC Pumping Co. <br /> Company's Address: 11350 Kiefer Blvd,Sacramento, Ca. 95830 <br /> Report for the Month Ofa�0 <br /> �5 <br /> Gallons Where Cleanings <br /> Date Name ofProperty Owner LocationCt_y't Pumped Were Unloaded <br /> �3IV —a aLL,,' l 4Z 97?c�On/ d v�� <br /> o Y11 -All <br /> 17996 d�vi� <br /> l s� colt �' l-N °00 GU, Se,l6ur, /U em) >� <br /> a 5 - 7�Is0 W, V (T' <br /> ,r 7� �� i <br /> y,l <br /> Return"by the 12th of each month to: <br /> Date Signature ofApplicant Environmental Health Division <br /> 304 E. Veber St., 3rd Floor <br /> Stockton,Ca. 95202 <br /> s <br /> f <br />