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San Joaquin County'Environinental HealthDivision <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 far the Month Of G ONMENTHEA <br /> Gallons Where Cleanings <br /> Date Name of Property Owner Location Citlr Pum ed Were Unloaded <br /> — s.HIV 6.90 <br /> Alz <br /> 113 6C <br /> o? S 5 e&al QST <br /> /2 ,t <br /> Gtr/ <br /> OT <br /> tt/, /nor i/ otj o �� r <br /> Return by the 12th of each month to.- <br /> Date <br /> o.Date Signature of Applicant Environmental Health Division <br /> 304E. WeberSt.,3rd Floor <br /> Stockton, Ca. 95202 <br />