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♦v 1 <br /> San Joaquin County Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report . APR 0 $ 20 <br /> % <br /> 11 <br /> YJ <br /> E�NWRMFNTAU-H-EALTIJ <br /> Company's Name: SRC Pumping Co. PER <br /> Company's Address: 11350 Kiefer Blvd,Sacramento, Ca. 95830 <br /> Report for the Month Of, <br /> }F i <br /> Y+ <br /> L <br /> Date Name o Pro ert Owner .Gallons Where Cleanings <br /> Location C't Pum ed Were Unloaded <br /> d �s <br /> rJ' l + rl <br /> Gr 7 l/ <br /> J <br /> `.� �}�pl d r /I <br /> is <br /> le <br /> tet/- <br /> � at " Return by the 12th of each month to: <br /> Date ' Si nature o A licant <br /> g ofApplicant Environmental Health Division <br /> k 304 E. Weber 5t,3rd Floor <br /> Stockton, Ca. 95202 <br /> ri <br />