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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, Cd: 95830 <br /> Report for the Month Of.• o7lJD <br /> Gallons Where Cleanings <br /> Date Name offtoperty Owner Location Citj Pu_ meed Were Unloaded <br /> / I 1c �c �l <br /> _AQ 14' s iiia, ezvo' fn ,p- �� <br /> '23tvv ,81 / s— <br /> 00 i <br /> _20 <br /> 3 1�10 <br /> Return by the 12th of each month to: <br /> Date Signature of Applicant Environmental Health Division <br /> 304E. WeberSt., 3re1 Floor <br /> Stockton, Ca. 95202 <br />