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San Joaquin County Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report <br /> Company's Name: SRC Pumping Co. <br /> Company's Address: 11:Y0 Kiefer Blvd, Sacramento, Ca. 9s83o <br /> Report for the Month Of. <br /> �k <br /> Gallons Where Cleanings <br /> Date Name of Property Owner Location Cir Pum ed Were Unloaded <br /> 1 v &6 <br /> Le 4tArl—1 <br /> 12 <br /> OGtl.�e uG"' RD JI <br /> Lt1iU Ii9 -r (. C74VJutil i10 2Z 96) U <br /> v�S <br /> a <br /> � 8 <br /> X <br /> ` A+ <br /> Return by the 12th of each month to: <br /> Date Signature of Applicant Environmental Health Division <br /> 304E. Weber St., 3rd Floor <br /> Stockton, Ca. 95102 <br />