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San Joaquin County'Environmental Health Division <br /> t 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 Of AlCSU <br /> d <br /> Gallons Where Cleanings <br /> Date Name of ProyertyOOwner Location C Puyed Were Unloaded <br /> M q->exVOLt� 6� �/f✓f� ��� �,�J� <br /> D L194/Q-7 l2.0 <br /> le Svi✓Tc- V 36136 A),A/ <br /> f <br /> �1 t- <br /> � I <br /> 0 6s .Return by the 12th of each month to: <br /> Date Signature of Applicant Environmental Health Division <br /> 304 E. Weber,St., 3rd Floor <br /> Stockton, Ca. 95202 <br /> F <br /> i <br />