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Salt Joaquin Coln o? Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report <br /> Company's Nante: SRC Pumping Co. <br /> Company's Address: 11350 Kiefer Blvd., Sacramento, Ca.' 95830 <br /> Report for the Afonth Of.• <br /> Gallops Where Cleanings <br /> Date Name ofPr6pert t Owner Location Citp Lm ed Mere Unloaded <br /> zoc 61 <br /> AYU k D - <br /> Pig - <br /> GD �Of lS E lJ �>47Ji11 U kW4t <br /> PCO r ®a t <br /> 12/ M 1tJML /7PPJ GU-.2&U7 AD eJ <br /> av <br /> Return by the 11th of each month to: <br /> Date Signature o fA plicaut Environmental Health Division <br /> 1961 ' c�sT�G�z 70/d ,ASIA <br /> Stockton, Co. <br />