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s� -3 <br /> 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 jar the Month Of U/v _ <br /> Gallons Where Cleanings <br /> Date Name ofProperty Owner Location CLL Pum ed Were Unloaded <br /> C . � , <br /> � _ �{: �}��-S %r9v � - P';;� <br /> C'vs i �Cp 79f!? 1 '. u l <br /> l� �I�- d �VQS� Gl�r�z/I <br /> Izz <br /> ?? 141'e':�o v r !/ <br /> 111 �.Sak,cr,_Ew <br /> w I <br /> 51�2 7—,/ 7-- <br /> r7L_ f7 /-S'e leu 1 AD L/ t/ 0 <br /> SAW- <br /> LLQ <br /> 9 Al- <br /> Return by the 12th of each month to; <br /> Date 11 Signature of Applicant Environmental Health Division <br /> tt <br /> 304H. Weber St., 3rd Flo <br /> ar <br /> Stockton,Ca. 95?02 <br /> ;,3 <br />