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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 far the Month Of. <br /> GaUorns li7tere Cleanings <br /> Date N_ able ofProperty Owner Location CUE <br /> Pum ed {;'ere Unloaded <br /> l� 1 ilir S�4 2sr/Ro �i5e►¢"Oa� SAW <br /> 9 /YIT JG/�r. Jn Pit G !I E <br /> >`Ot2f2S IYVU u L <br /> .WlY/i '' pAlIF <br /> S Y7aS rv�iG lyEl(� /r <br /> / SOo tr t 1 <br /> N Du uR -7 <br /> nE <br /> / 10 60 P <br /> AeP 0 4/ / avl <br /> '2 L' <br /> it <br /> v <br /> t q �J� <br /> —! — Retain by the 111h of each mondi to: <br /> Date —Signature ofA licant HrrvironmentalHealthDlvision <br /> 60® s-r 6 E <br /> • StocAyon, Ca. 95101 <br />