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2- <br /> s i G� <br /> An Joaquin County Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report n r <br /> 4 <br /> Company's Name: SRC Pumping Co. AMIJ <br /> Company's Address: 11350 Kiefer Blvd,Sacramento, Ca. 95830 E-NAVIR o, r NI HFAITh <br /> Report for the Month Of.. jT/SERVECE-S <br /> DateGallons Where Cleanings <br /> Name o Pro ert Owner Location Ci , Pued Were Unloaded <br /> � me <br /> Cal <br /> 6zo Wr r <br /> i �r '1 <br /> �Gs �r�r /l <br /> � <br /> /aJ O Return by the 12th of each month to: <br /> Date Signature of Applicant Environmental Health Division <br /> 3 <br /> 309E.'WeberSt., 3rd Floor <br /> i Stockton, Ca. 93202 <br />