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apt <br /> s <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 /> Report for the Month Of-- n jL o70 D <br /> Gallons I Where Cleanings <br /> Date Name o Pro ert Owner Location CitV Pum ed Were Unloaded <br /> asel&�70 Af, a �� v <br /> rl <br /> Au <br /> J*I 1A U /1/, Se ed& S-I L r�J i <br /> / <br /> i ' ,,5'D d ' <br /> -1 1040d �. <br /> L � t1 <br /> oe <br /> ,Return by the 12th of each month to: <br /> Date ignature of Applicant Environmental Health Division <br /> 304E, Weber,St., 3rd Floor <br /> Stockton,Ca. 95202 <br />