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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. <br /> i <br /> t Gallons Where Cleanings <br /> Date Name ofPranerty Owner Location Qh! Pum ed Were Unloaded. <br /> i <br /> 4 i <br /> y <br /> Return by the 12th of each month to: <br /> Date Signature of Applicant Envtronmental Health Division <br /> 304 E. Weber St., 3rd Floor <br /> Stockton. Ca. 95202 <br />