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San Joaquin County Environmental Health Division <br /> Sepdc Tank and Cesspool Cleaners Report <br /> Company's Name: SRC Damping Co. ' <br /> Company's Address: 11350 Kiefer Blvd,Sacramento, Ca. 95830 <br /> Report for the Month Of. <br /> Gallons Where Cleanings <br /> Date Name ofProoertv Owner Location gc� Pum ed - Were Unloaded <br /> - I � � -� � ll G �rU ♦r /I <br /> I5lor /�/t'LT lJ�1S 11 /vL�. �• �, <br /> 7 1 <br /> ,�Zat L AOI( G rJJ it i/ <br /> / O sr <br /> SeAtl E 21 » <br /> 7r <br /> Le <br /> l 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 />