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CLd <br /> Sart Joaquin Couno) Environniental Health Division <br /> Septic Tank and Cesspool Cleaners Report <br /> Compalil►'s Nance: SRC Primping Co. <br /> Company's Address: 11350 Kiefer Blvd, Sacramento, Ca.' 95830 <br /> Report far the 111ontlt Of. ®ems 13 a <br /> Gallops iPhere Cleanings <br /> Dale Name offr6yertL? 4wlrer Location OR R Pi ed ►fere Unloaded <br /> 61n4L9200S L/2, <br /> rne,�on�ca� o2N/vr�fJ�Si n1�,��t LrU <br /> Repan by[lie 12rh of each n►on►h to: <br /> Dale ignalnre ofAppllcant Environmental Health Division <br /> Brockton, Co. <br />