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Z/ <br /> Sari Joaquin Couno) Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report <br /> 13 <br /> Company's Name: SRC Pumping Co. <br /> Company's Address: 11350KieferBlvd., Sacramento, Ca.' 95830 HEALTH <br /> Report far the Month Of.• � PERMITISER JIGES <br /> Gnllo�is fYliere Cleanings <br /> Dale Na►1te n(Prapert i Oii�ner Location Com! Pinit ed ►fere Unloaded <br /> ` X f <br /> /Z/ 2 Ko r lf,�-O c� ►, r <br /> 19-d� �.��yr�s )OCI) A T d A < t <br /> (0 lei, <br /> G /-/t/ <br /> so / 0 <br /> iF 01?7AAG I//0 /ii/ frAZ,o—,Ez),4,Li S<JO' ► l <br /> �JLwl —6 t l /r I <br /> rrii/ r i o, ed 0 t / <br /> A <br /> Rennn by the 12th of each month to: <br /> Date Signature ol'Appllcant Enrtronn►ental Health Division <br /> /BGS 'C✓�=sTiGFZ�L"Tii� .�z/c <br /> Stockton, Ca, 24� C),`—6-� <br />