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RECEIVE o� <br /> San Joaquin County Environmental Health Division <br /> RONME „q HEq Septic Tank and Cesspool Cleaners Report <br /> S <br /> Company's Name: SRC Pumping Co. <br /> Company's Address: 11350 Kiefer Blvd, Sacramento, Ca. 95830 <br /> Report for the Month <br /> Gallons Where Cleanings <br /> Date Name ofProperty Owner Location C Pum ed Were Unloaded <br /> 4 se,a <br /> st � <br /> 5 c ni t n <br /> /g D tv- 4� D D <br /> i 4 _ SeIYWLSiT4 , <br /> �rL a675 tv.LAA4V/FI k0 ,r J <br /> k t L Ls✓ 7i <br /> 7r ., <br /> .q/ l . S. i cS//4:e� <br /> L /l0 L c /730 �. E Ale tI 5 <br /> r <br /> SmU Gp G ^US1sn/rA5 <br /> Remm by the 11th of each month to: <br /> Date ignature of Applicant Environmental Health Division <br /> 3048. Weba &, 3rd Floor <br /> Stockton,Ca. 95202 <br />