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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 far the Month Ofd " <br /> R <br /> GaQons Where Cleanings <br /> Date Name o Pro ert Owner: Location C.� Pum ed Were Unloaded <br /> 'f i�// "{ V f�1 U L /�vr/E F <br /> 3 Gr/ l�rl <br /> � 0 �- <br /> �� PS V ! G� <br /> S <br /> It 1 <br /> lo✓ l / <br /> 1' 67 1 l� , <br /> ZV2-2 <br /> /L 'i✓'�zt4/41C4 / r14,f=- 1 l <br /> i I <br /> Ly 11PY7 9 -6 <br /> 0 » �� <br /> a l.1 T J dt > r <br /> -- the 12thof each month to: <br /> Date Signature of Applicant Environmental Health Division <br /> 1304H. Weber St., 3n1 Floor <br /> Stockton, Ca. 95202 <br />