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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: 11350 Kiefer Blvd, Sacramento, Ca. 95839 <br /> Report far the Month Of.• <br /> Gallons Where Cleanings <br /> Date Name ofProperty Owner Location Cit <br /> I Pum ed Were Unloaded <br /> ~U a /0 Iz"7)7} aS7�Cje <br /> AG�r't i rJ 19M4 <br /> l <br /> f <br /> 4 <br /> LA/ <br /> �f <br /> zz <br /> N L 1 c - // (JLI <br /> 11) d . <br /> 6 ' <br /> ,Z L7 l �ETRefurn <br /> by the 12th ofeach month to, <br /> Date Signature of Applicant onmental Health Division <br /> . Weber St., 3r�1 Floor <br /> octon, Ca. 95202 <br />