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San'Joaquin County Environmental Health Division <br /> Septic Wank and Cesspool Cleaners Report r: <br /> Company's Name: SRC Pumping Co. ' <br /> Company's Address: 1 350 Kiefer-Blvd.,Sacramento, Ca. 95830 ' Y <br /> Report for the Month Of.- <br /> ' ,Gallons Where Cleanings <br /> Date Name o pro ert Owner Location C Pumped Were Unloaded <br /> 77,YZ Y, Sv- STrTC <br /> .zrt C A'v170 U <br /> y m !99✓� I o57Jv : / <br /> r SAL312Z 221Aii <br /> pis �tiv�% tG� �- �',�� �U0 <br /> Ly--20-1 W, ceCT� �0 <br /> 0� ago r >� J /e, .� <br /> Y 1 <br /> owl Return by the 12th of each month to: <br /> Date i Signature ofApplicant Environmental Health Division <br /> 304.E, Weber3t., 3riFloor <br /> Stockton, Ca. 95202 <br />