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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 /> Company's Address: 11350 Kiefer Blvd,Sacramento, Ca. 95830 <br /> Report for the Month Of.- <br /> } Gallons Where Cleanings <br /> Date Name o P rODertV Owner Location Cil Pu_ meed Were Unloaded <br /> lllvl <br /> s s 19L, <br /> IM/17— <br /> /0 zaeoz. /1 <br /> ,r <br /> 6/WV il <br /> Y3 9 <br /> ::�f�611 <br /> Return by the 12th of each month to: <br /> Date ignature of Applicant Environmental Health Division <br /> 304E. WeberSt., 3rd Floor <br /> Stockton, Ca. 95202 <br />