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1-�2 cv� <br /> 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. U <br /> DateName ofProner[v Own . e Gallons Where Cleanings <br /> on City Pumed Were Unloaded <br /> 0 <br /> Bio' � � / l aOtry SRG1/�� <br /> WeVd <br /> a o z G!/fr/�sCanliFa /l J <br /> �3 ��oa✓q o21 /5 l4/ �m A <br /> )7)eOIA 119-10-,( /Ol�a3 %/l�rViT f Gt/ l i Z-00 <br /> a-/— - (61A E j12 Sd b ,Sj ItIlt <br /> i�J PL. 19SEGl Tw Cie <br /> 9 <br /> / l UO <br /> Return by the 121h of each month to: <br /> Date Signature of Applicant Environmental Health Division <br /> 3046. WeberSt., 3rd Floor <br /> Stockton, Ca. 95202 <br />