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Yr , <br /> fn'l'e' s D S� <br /> San Joaquin County Environmental Health Division <br /> } Septic Tank and Cesspool Cleaners Report <br /> �a <br /> Company's Name: SRCi <br /> Plumping Co, <br /> -------------- <br /> Company`s Address: 11350 Kiefer Blvd,Sacramento, Ca,' 95830 <br /> Report for the Month Of.. <br /> -- <br /> CPA/ <br /> Gallons Where Cleanings <br /> ID Date Name a Pra—.ertv Owner Location Ci d --P— <br /> Pum ed Were Unloaded <br /> o <br /> A&LA4 <br /> A -7f1 <br /> los <br /> 6 2V <br /> / <br /> 6- [1 <br /> � a , <br /> ' 1.2L, <br /> zq <br /> Return by the 12th of each month to: <br /> Date Signature of Applicant Environmental Health Division <br /> 304E. Weber St., 3rd Floor <br /> Stockton, Ca. 95202 { <br /> I <br /> I <br />