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San Joaquin County Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report <br /> it <br /> j; LLY <br /> Company's Name: SRC Pumping Co. <br /> Company's Address: .1.1350 Kiefer Blvd, Sacramento, Ca. 95830 <br /> Report for the Month 6 GIl ac) 17 1 I N i HEALTH <br /> �: a�i�T SE�l11C�S <br /> 1' 'Gallons Where Cleanings <br /> Date - Name a�Property Owner Location C.. !y- Pum ed Were Unloaded <br /> S J GtILr1A," !i <br /> ¢i <br /> ILA/V ,`d X <br /> � 2�l ,�n1 D , C e Lam/ �/ ►` � �< <i . <br /> o Leo; �, �-M 6,'` /L,),7 Awa Je- , - <br /> V vr/—f�u� <br /> a� Gip a a W L�MSG <br /> ei/l FG 1 d A/w 9 C/ i= 10 <br /> mrd2r <br /> Return by the 12th of each month to: <br /> Date Signature of Applicant Environmental Health Division <br /> 3041±'. Weber St, 3rd Floor <br /> Stockton,Car. 95202 <br />