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Salt Joaquin Counoy Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report <br /> Company's Name: SRC Pumping Co. <br /> Company's Address: 11350 Kiefer Blvd., Sacramento, Ca.' 95830 <br /> Report far the Atonih Of.. v/,3 <br /> Gallons Where Cleanings <br /> Date Name o(Prtipertp Owner Location CiiLY P►u►t ed ►fere Unloaded <br /> —/ 7�78V /f 4th /�� .rJy r� r/� 75 <br /> a 8 Rio Rd 61w <br /> Ahwnlz�q 41) <br /> D f 11C*Gr4-7-55-i1Cdh/?V- /f,,pU , ► r <br /> 6U Sou tt)44ve, 4 <br /> �.TFis C�1%e A/ G�//d✓D<(ltlrr/"/srla✓ G✓J �l 1-5--ed I <br /> Da <br /> la'719 "r d <br /> RImm by Ilia 12(1i of each month to: <br /> Date 3lgnature of A plicant lHimironmental Health Division <br /> Stockton, Ca. <br />