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San Joaquin County Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report LAI I"" <br /> Company's Name: SRC pumping Co. <br /> C any's Address: 11350 Kiefer Blvd,Sacramento, Ca. 95830 +. <br /> tfor the Month Of. <br /> 4- g <br /> Gallons Where Cleanings <br /> NVIi� MENT <br /> at, Name o Pro ert .Porn ed Owner Location C Were Unloaded <br /> p�RMITrs� v <br /> 0 -0 <br /> , <br /> n JJ,A 12 4-V r ( U <br /> � l7 CJD P i u ` <br /> a Zoe 6w *? r r 7d it <br /> rte �4 <br /> Return by the 12th of each month to; <br /> Date Signature of Applicant Environmental Health Division <br /> 1304H. Weber St.,3rd Floor <br /> Stockton, Ca. 95202 <br />