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c�r <br /> San Joaquin County Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report <br /> Company's Name: SRCPumping Co. <br /> Company's Address: 11350 Kiefer Blvd., Sacramento, Ca. 95830 <br /> Report far the Month Of: j Z <br /> Date Name afPronerly Gallops Where Cleanings <br /> Owner Location C� Pum ed Were Unloaded <br /> JS GU /n�2 Z" ,S chTO,✓ --4-4-LeG' ✓E 91 SS <br /> �7 c dn/�GOS 3/L U/��% �J97� i /�L // tc / l <br /> P <br /> e / /r73/ /Uc✓ t <br /> Ja <br /> a3�3 <br /> Q- <br /> r / <br /> i/ <br /> .. so WWF <br /> zl <br /> 0 <br /> uall' 4. 1 Z <br /> mlz <br /> � r 1 <br /> ,�E LcCL � n <br /> oZ5 >U Kp <br /> Return by the 12th of each mond)to: <br /> Date lgnature o A lican[ <br /> .T PP Environmental Health Division <br /> 304H. {Veber St, 3rdF70or <br /> Stockton Co. 95101 <br />