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y�r L <br /> 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 /> .Deport for the Montle <br /> 1 Gallons Where Cleanings <br /> ` Date Name of Property. Owner Location Citz Pum ed Were Unloaded <br /> 27?aIMIM e114, <br /> A;/L/6 2 PrI D J 1 <br /> - 1, <br /> 3 All <br /> ko <br /> f -Z / ka <br /> Reium by the 12th of each month to: <br /> Date Signature of Applicant Envtronmental Health Division <br /> 3041~', Weber St., 3rd Floor <br /> Stockton,Ca. 95202 <br />