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San Joaquin Counot Environmental.Health Division <br /> Septic Tank and Cesspool Cleaners Report <br /> Company's Nante: SRC Pumping Co. <br /> Contpany's Address: 11350 Kiefer Blvd., Sacramento, Ca.' 95830 <br /> Report for the Afonth OV. / 11?1)/ <br /> Gallons Msere Cleanings <br /> Date Name ofProyert t Owlier Location C.!tl! Pam ed Were Unloaded <br /> �` ..1�• �cJ�W�9r�4�1 !�E .5���70n1 �J �iit/�%9%r�SS <br /> iO4fLtC <br /> L� r <br /> ,r,AAnTinli 411!/- l I � /( y <br /> B .S X 513 kt/1&wlnBYl 14VE 1 r r <br /> /0 IZ4)Vi'2 IF94> <br /> Iq d727 U1,{'Ybil�- L�>l / t —> O t c I <br /> (�� )nm7 '~G//` 'W. <br /> - ^ Un/E q v <br /> Zi 5WZA: / X• TUB: / LAI it /,BUJ e/ <br /> ► ►c2v /f. U kv&I &Awr(f La/ >> l <br /> ,W/Si9 1 I AA04jt i I <br /> Reftim by ilia 12th of each month to: <br /> Date 6-Signature o f A pplicant Emvironmwuat Health Division <br /> stockton, Ca. <br />