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Z? 0)-r <br /> San Joaquin Connor Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report <br /> Company's Name: SRCPumping Co. <br /> Company's Address: 11350 Kiefer Blvd, Sacramento, Or. 95830 <br /> Report for the Mantle Of. <br /> Gallons Where Cleanings <br /> Date Nante ofProaerly Owner Location Of <br /> Punt ed Were Unloaded <br /> i / C 0 V / 5-,IA <br /> P Zn, >r > <br /> �9 ' �Uu arGt �7�?7• L�/ >> 5?j >� � <br /> 75?AJ.9 <br /> �� > <br /> VAL /71,15IV,S <br /> ,i/ - 2 d t <br /> a L. u / D Ji <br /> it <br /> Return by die 11th of each month to: <br /> Date Slignature ofA licanf I 6nvtrr,nmmuat Health Division <br /> Stockton, Ca. 95202 <br />