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San Joaquin County Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report -tt!!f <br /> Company's Name: SRC Pumping Co. <br /> Company's Address: 11350 Kiefer Blvd, Sacramento, Ca. 9583o <br /> Report for the Month Of. <br /> Gallons Where Cleanings <br /> Date Name of Pro erty Owner Location CY Pum ed Were Unloaded <br /> 11��ZVIZ 62 <br /> le , <br /> �ao0S N- <br /> c 3 <br /> ZOO <br /> Return by the 12th of each month to: <br /> Date Signature of Applicant Environmental Health Division <br /> 304 E. Weber St, 3rd Floor <br /> Stockton, Ca. 95202 <br />