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T <br /> 4 <br /> San Joaquin County-Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report <br /> d <br /> Company's Name: SRC Pumping Co. I; <br /> Company's Address: 11350 Kiefer Blvd, Sacramento, Ca. 95830 <br /> Report for the Month Of.- j <br /> i� <br /> Date <br /> Gallons Where Cleanings <br /> ` Name o Pro ert Gruner Location Cit1 Pum ed We <br /> — P re Unloaded <br /> " G 21•fI l' Lel L' <br /> SIj <br /> l!� <br /> �? �l ZT%.- r ��r L� >I �� J <br /> 6 44 <br /> lei J / <br /> f� GAJ <br /> ac,' cJ <br /> Return by the I2th of each month to: <br /> Date Signature of Applicant <br /> Environmental Health Division <br /> 304H. WeberSk, 3ndFloor <br /> Stockton, Ca. 95202 <br /> �r <br /> _ i <br />