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San Joaquin County Enviro nnental Health Division <br /> Septic Tank and Cesspool Cleaners Report <br /> Company's Name: SRCPumping Co. <br /> Company's Address: 11350XieferBlvd, Sacramento, Ca 95830 <br /> Report far the Mondi Of. <br /> Date Name ofProvertu Owner Gaualrs Where Cleanings <br /> Location Cit Pum ed Were Unloaded <br /> /� C►c sTLO G2�iS lfS9ZE n1sr9TPL- ee— ZV &,vY4176 /Ip <br /> 0. <br /> alr6 /(n ✓i <br /> elld <br /> )V114 rills �i �C- ✓r /�O �r <br /> D IV, L/w ka / <br /> rnJ G€ 93-0 Avillnwjrtl // <br /> 75th set4t t/ w /� ✓l <br /> 1w 15M <br /> Return by the 12th of each month to: <br /> Date SlgnalureofApplicant Environmental Health Division <br /> 304E. Weberh, 3rdF7oor <br /> Stockton, Ca. 95202 <br />