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Y 14-i <br /> ,f <br /> San Joaquin County Environmental Health Division <br /> ' Septic Tank and Cesspool Cleaners Report � <br /> 1 <br /> .Company Is Name: SRC Pumping Co. <br /> Company's Address: 11350 Kiefer Blvd,Sacramento, ca., 95830 i9 <br /> Report for the Month Of.• <br /> L3 �� <br /> a� <br /> Date Name of Property Owner Location Gallons Where Cleanings <br /> -- ON Pum ed Were Unloaded <br /> AA2-10 f2—, <br /> v U � 3 iJ • � Lir/ /l v ,� . ,� <br /> L4 IT <br /> s 1143 r <br /> r I j <br /> 5vv , � r <br /> VO k 7-;,1 S—fry// <br /> _ 7� <br /> 1 rvAA <br /> t <br /> Date �� Return by the 12th of each month to: <br /> Signature of Applicant Environmental Health Division <br /> ? <br /> 304H, Weber St, 3rd Floor <br /> Stockton,Ca. 95202 <br /> 1 i <br />