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• �4 <br /> I/✓ � tJ <br /> Salt Joaquin County Environmental Healtli Division <br /> Septic Tank and Cesspool Cleaners Report <br /> Company's Name: SRCPamping Co. <br /> Company's Address: 11350 Kiefer Blvd,Sacramento, Cm 95830 <br /> Report for the Mantlt Of: -az v <br /> GaUtuts Where Cleanings <br /> Date Name dPr6nerty Owner Lo tion City Punt ed Were Unloaded <br /> iAT f73L/! / L'g- Il !t !l <br /> rm ail SRWCF <br /> P d it <br /> 7 Alsa✓Wf1 / �l <br /> plilzz <br /> s 71A5 Ga/ // d I/ <br /> ,FYbWM4&ZI// I l ,% 4�'UE�a�/uiS <br /> tl <br /> Y /SduT//- ! 11 ii y <br /> / ys/S F' u E /i It It <br /> � IY <br /> /07/ jW; <br /> Return by the 11th of each month to: <br /> Date Signature ofApplicwit Environmental Healas Division <br /> 60® 44' STMAfN SWEr <br /> Stockton, Ca. 95202 <br />