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An Joaquin County Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report fS <br /> t <br /> Company's Name: SRC Pumping Co. <br /> Company's Address: 11350.KlefeiBlvd,Sacramento, Ca. 95830 <br /> Report for the Month of.•� � A�� n <br /> Gallons Where Cleanings <br /> Date Name o Pro ert Owner Location C Pum ed Were Unloaded <br /> ra►/ fi5 S�c� d L4s <br /> it <br /> P <br /> 41 <br /> AQ <br /> 1-1 - /& ,�,RC1 /� 1 <br /> Return by the 12th of each month to: <br /> Date Signature Of Applicant Environmental Health Division <br /> 304 E. Weber St., 3rd Floor <br /> Stockton, Ca. 95202 <br />