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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.• v ! <br /> Date Name o(ProDerty Owner Gallants Where Cleanings <br /> Location C Pumped Were Unloaded <br /> l/a✓ Z laC�tTl' / JOl7 S'R Gl C <br /> /UAJi" <br /> tiS oZ 5JV, Mggil zAl / l <br /> 4M-c3� <br /> S � a 6� mogq L9m✓rz- <br /> [i- o >r // <br /> ti-Se tic - /2a <br /> 'w 111 G' /2 6%2 W, Se 1C / , <br /> etJ of 1 <br /> oZ ��/✓� BU �/ t /70 <7 r e/ <br /> D✓ R/1 c <br /> STCd u It,/ Se/-,/c,r/7,7 ! <br /> �/ L , i <br /> ! r / / <br /> 6l <br /> Return by the 12th of each month to: <br /> Date lgnature ofApplieant jEnwronmental Health Division <br /> 304fi. WeberSt., JnlFloor <br /> Stockton, Ca. 957D2 <br />