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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 Pro ert OLocation Were Unloaded <br /> �-v Owner C� Pum- <br /> - s <br /> �r dd <br /> �Q Return by the 12th of each month to: <br /> Date Signature of Applicant Environmental Health Division <br /> 304E. Weber St., 3rd Floor <br /> Stockton, Ca. 95202 <br />