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San Joaquin Counol Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report <br /> Company's Name: SRCPumping Co. <br /> Company's Address: 11350 Kiefer Blvd, Sacramento, Ca 95830 <br /> Report far the Month Of, <br /> Gallons Here Cleanings <br /> Date Name ofPrtineriv Owner Location C� Punt ed {fere Unloaded <br /> e 193 <br /> 9 — �✓I IV, hOlVII <br /> aD qc 3 3 , W 4ell /Il <br /> a r7 /�v2. Wiest airi� � it A <br /> 1 <br /> a �s &XVXZ). , <br /> DA/ b <br /> ✓r(?f7 I7 i/ <br /> d � <br /> c IC - <br /> U114 .61- ZO <br /> "� T'. G — 3— A70 / / /� /t <br /> 3 D / U /t it <br /> R6 a /� Po E/ �7 .5-0 ,c i / <br /> Retunt by die 11th of each mond,to: <br /> Date Signature ofA licant Bdrv,vnntental Health Division <br /> Sdockton. Ca. 95202 <br />