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f <br /> San Joaquin County Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report <br /> Company's Name: SRCPumping Co. <br /> Company's Address: 11350 Kiefer Blvd, Sacramento, Ca 95830 <br /> Report far the Month Of.- <br /> Date Gallops Where Cleanings <br /> Name ofPronerty Owner Location 0tvpump Were Unloaded <br /> $G 3. LU --LF- <br /> w�>c- <br /> 1/ 3/ G✓J�i��� /I / /t t <br /> J'? � <br /> /Ol 9YJ�id✓/ 11 <br /> a)/iiv <br /> A2*7 <br /> D 'u S S �fl. Gd <br /> ('� �� L' 1 0 1� �4�C' Lo✓ t c /l <br /> 3L7o t <br /> -Ale IJ, o <br /> !/ <br /> 07-7 L' Return by the 11th of each month to: <br /> Date Signature ofA licant <br /> PP Environmental Health Division <br /> OV , <br /> Stockton, Ca. 95202 <br />