Laserfiche WebLink
6L 1, <br /> 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 for the Month Of,- <br /> i <br /> Gallons Where Cleanings <br /> Date Name ofProper�t,Ow er Location C Pumped Were Unloaded <br /> All <br /> O <br /> �v <br /> 5XI / r / 1 <br /> r . <br /> ' r- CLQ rJA�'t pZ11.1 <br /> nS _ l <br /> r 9�5 GU.! r�H <br /> / Return by the 12th of each month to: <br /> Date Signature of Applicant Environmental Health Division <br /> 304E. Weber St.,3rd Floor <br /> Stockton, Ca. 95202 <br />