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Sart Joaq►d►► Counop Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report <br /> Company's Name: SRCPantpingCo. <br /> Contpany'sAddress: 11350 Kiefer Blvd., Sacramento, Ca.' 95830 <br /> Report for the Month Of. <br /> Gallops Where Cleanings <br /> Date Name ofProperllr Owner Location Cttp Pmn ed Were Unloaded <br /> 15�%iln <br /> .� �v:/ttEi1 /C%6l/C 71111 A/y27�/y/,�i�✓.� / ' /,�o o /� // <br /> �l GJEt7 � i /t <br /> /r <br /> ?Z U3� /f iTditdG_ / ) <br /> �c52(-' A <br /> 3 ?F E /Ov d n <br /> �f �N �/U�,P/��4mi✓�//!sl/, t � ,�57J U I l t I y <br /> V 11 <br /> ✓ Repan by the 1241 of each"1011(11 to: <br /> Date Ignatnre ofApplicam $nrlmmm�ualHealthDlvirian <br /> Stockton, Ca. %soZ Ove= 3 <br />