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San Jonquils Couno, Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report <br /> Company'sNante: SRCPWnping Co. <br /> Company's Address: 11350 Kiefer Blvd., Sacramento, Ca.' 95830 <br /> Report for the Afonth Of.. <br /> Gallops Where Cleanings <br /> Date Name ajPr6perft► Owner Location Cil Putt ed lVere Unloaded <br /> . /—/3 vu�h/ .� u<���_ �3i�i✓� ,�i�cj,�.�sr Siar�G?rm/ �S %Boy, s <br /> /,fid <br /> 7 (J .36U .�PLL 6�i✓rl�ll &L /,SD r i l <br /> it <br /> ' AionI N 3S <br /> �Sir✓t.�t.,J�kl;=im a,T 9�[� Gtl•SEfi-uC� �?. 1/ d?� i ' �l <br /> 1,5- e ,uot' J7 ag(%r/�sTte/✓%-Oz,4,"9,-) I ` 9d0 <br /> / v d I <br /> YYr /I5-D G�Ji/I i I r ii <br /> OV <br /> —�D �✓ Repml by the 121h of each mond►lo: <br /> Date Signature ofA plicant Environmental Health Division <br /> i'BG% <br /> Stockton, Co. <br />