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h+ IC <br /> ti r <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. 9583o <br /> Report for the Month Of, �. <br /> i <br /> Gallons Where Cleanings <br /> Date Name o Prop ertv Owner Location 911 Pum ed Were Unloaded <br /> -z 3 <br /> - <br /> U �� , <br /> �i >/ !c W <br /> .SGrJ <br /> r <br /> tli4 i6j7D xegy <br /> x <br /> '1617 <br /> v <br /> u c222 C? V Gai rpt=, T C' <br /> G / LL9 <br /> Return by the 12th of each month to. <br /> Date St nature o A licant <br /> g f PP � Environmental Health Division <br /> 304E. WeberSt., 3rd Floor <br /> Stockton, Ca. 95202 <br /> 4 <br />