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San Joaquin County Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report <br /> Company's Name: SRCPumpingCo, <br /> Company's Address: 11350 Kiefer Blvd, Sacramento, Ca. 95830 <br /> Report for the Month Of.• <br /> Gallons here Cleanings <br /> Date Name 0 Proberty Owner Lo ation CO Pum ed Were Unloaded <br /> — 2 7t c A, c', Ls c- <br /> — <br /> 3 t> / C 4"In o L26 Vit/ ' its AlL 6o- 47 /t it <br /> / - �'i <br /> r <br /> C IA1 <br /> Z,1100110 ZO[°U <br /> G �!? /019 -14 71 <br /> �� btt <br /> C/MEJ IM <br /> e' 1/ I / c/ li Il <br /> -5 ITOZ <br /> `/� <br /> Retain by the 11th of each month to: <br /> Date lgnature ofApplieant Environmental Health Division <br /> 304H. Weber St., 3rd Floor <br /> Stockton, Ca. <br /> 95202 <br />