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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. 95830 <br /> Report for the Month Of.- L <br /> 1 Gallons Where Cleanings <br /> Date Name a Pra ert Owner Location C Pum ed Were Unloaded <br /> �a3fv I Gil.*1,02wUl'I ZAI Ch G'� BUJ <br /> /I <br /> T& Oh)4` )kn �S / /Sgd ,Se 42 71 /I <br /> Pj IVA2(i�Ife 9� S 9 c9 W, (%40Jl G L11� 91 ! <br /> G <br /> flzg& <br /> r uJ lel.S&A-64 <br /> r(� Returm by the 12th of each month to: <br /> Date Signature of Applicant Environmental Health Division <br /> 304 H. Weber St., 3rd Floor <br /> Stockton,Ca. 95202 <br />