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San Joaquin County Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report <br /> Company's Nanse: SRCPumping Co. <br /> Company's Address: 11350 Kiefer Blvd,Sacramento, Cm 995830 <br /> Report for the Manth Of.- <br /> Date Gallons Where Cleanings <br /> Name ofPronerty Owner Location City Pumped Were Unloaded <br /> �- G✓/�i 'ELat� / 7��U Locality <br /> H, l'ie C74 <br /> �� 7c UaugL� J,�0 Gv / T JrAh F ` <br /> IV) A( P <br /> J a], ( ( <br /> WIII/ <br /> t ci.J <br /> �; i <br /> a s� t <br /> u-1 AL5aq <br /> C'E /ZD I �U.. /( / <br /> • se/ Iz <br /> Return by the 11th of each month to: <br /> Dale Signature of Applicant Environmental Healdr Division <br /> 1304H. Weber St, 3rd Floor <br /> Stockton C¢ <br /> 95202 <br />