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41 <br /> T <br /> San Joaquin County Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report ' <br /> s Name: SRC Pumping Co. <br /> Company'Company'sAddress: 11350 Eiefer Blvd,Sacramento, Cit: 95830 ENVIRONMENT HEJLTR <br /> Report far the Month Of,• r` a PERN1IT/ p. <br /> :lGallons Where Cleanings <br /> Date Name a Pro ert Owner Location <br /> C 'Pu bed Were Unloaded <br /> ' 1�.�T�v � • TN- R.�F3D Ddu? <br /> A "Al <br /> X457 r ,4v0 <br /> r I ' dL <br /> t 1' 4z.1 <br /> i d <br /> i fill. i P <br /> rr' <br /> ` return by the 12th of each month to. <br /> Date ignature of Applicant Environmental Health Division <br /> 304H. Weber St., 3rd Floor <br /> Stockton, Ca, 95202 <br /> 4 ' <br /> ,r M. <br />