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San Joaquin County Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report EDD <br /> A yAY I f 2008 <br /> Company's Name: SRC Pumping Co. HEALTH <br /> Company's Address: 11350 Kiefer Blvd,Sacramento, Ca. 95830 VICES <br /> Report for the Month Of.. <br /> ` Gallons Where Cleanings <br /> Date Name of Propertv Owner Location QfEPumped Were Unloaded <br /> 3 G`' ` r� —cam✓ �c'� �' v� b <br /> Sad �• �� <br /> li <br /> S?Jc� lei <br /> 41/ <br /> ai <br /> a5 lrJI -9� l - 69 <br /> mitt r 2fJ P <br /> AG <br /> eri 1 Z J �f <br /> Return by the 12th of each month to: <br /> Date Signature of Applicant Environmental Health Division • <br /> 304 E. WeberSt., 3rd Floor <br /> Stockton,Ca. 95202 <br />