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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.• 4 j 6 <br /> Gallons Where Cleanings <br /> Date Name o Pro ert Owner Location City Pu__ meed Were Unloaded <br /> JT2dA ('Al <br /> U /r_ '1, <br /> Ir tit).A <br /> i 1 1 <br /> 6' 0 ' .1� __1. <br /> ,gam IncS ` _ fv �i l <br /> 'L, <br /> 71 <br /> 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 />