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. . o�Z <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: <br /> 11350 Kiefer Blvd, Sacramento, Ca., 95830 <br /> Report for the Month Of.• <br /> Gallons. <br /> NameaPert Were cleaningsDate Loction Cr <br /> Pum ed _Were Unloaded <br /> -aLZlSic <br /> � <br /> a5 -�,, .4,1 . 1 l J j(-Ugdt1 <br /> � 15 � <br /> rZdW it Ic r <br /> s� dV L U >1 .S� N <br /> d9 odzlj�a <br /> `3 <br /> r✓ u-L��' 1 I d /c <br /> P /74990 Ila CiE le4 <br /> 0 <br /> 4-133 1041h'ZV�M <br /> Return by the 12th of each month to: <br /> Date Signature of Applicant Environmental Health Division <br /> 1304E. Weber Sr., 3rd Floor <br /> Stockton, Ca. 95202 <br />