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Y � i <br /> San Joaquin County Environmental Health Diviiion <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 for the Month Of.• °� v <br /> WaUons Where Cleanings <br /> Date Name a Pro ert Owner Location Cit "EMped Were Unloaded <br /> u� u l S7s GCa rl .SIJ d ,� <br /> l T 1 v L12 <br /> l IIh- 44AInA-- <br /> 1 <br /> y3 <br /> P O res ,AI 1 X - /l / r // <br /> 79 RD <br /> a rn <br /> v <br /> i <br /> �1 <br /> Date .4igReturn by the 12th of each month to.- <br /> Date ig...ature of Applicantk�� Environmental Health Division <br /> 304H. Weber St., 3rdFloor <br /> Stockton, Ca. 95202 <br /> } <br />