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F " <br /> San Joaquin County Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report <br /> Company's Name: SRCPumping Co. <br /> Company's Address: 11350.Kiefer Blvd, Sacramento, Ca. 95830 <br /> Report for the Month Of <br /> Date Name ; <br /> �L r <br /> Gallons Where Cleanings <br /> o pro ert Owner Location Cit Pum ed Were Unlaad_ed <br /> 7 - v-c) 7-9, <br /> , t <br /> cl J , 0?4 Cry RV ClC) Z) <br /> C G 'e� d W6;t -8 - / / S�G7 > 1 <br /> 6✓✓h�Jl�� c�Gll�',S��u c�¢/20 <br /> , Aa 0 S.ti c BL <br /> L� ;r <br /> a <br /> 3 / Return by the 12th of each month to: <br /> Date Signature of Applicant Environmental Health Division <br /> 304E. Weber St., 3nd Floor <br /> Stockton, Ca. 95201 <br /> r <br />