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San Joaquin Counot Environmental Health Division <br /> Septic Tank and Cesspool Cleaners Report <br /> D <br /> Company's Name: SRC Pumping Co. Nov <br /> Company's Address: 11350 Kiefer Blvd,Sacramento, Ca. 95830 <br /> Report for the Month Of. o7lJ EWVIRO <br /> GaUops "ere Cleanings <br /> Date Name ofPr6nerty Owner Location C�" Pum ed Were Unloaded <br /> /j4 11LfYn�+//✓J/u� i/ SOC) it rl <br /> 1Z3 Lo <br /> J /i <br /> .Smo in a SZd r d'k1'iJrE i t J i l <br /> / 9'73 L FGsi 16 Si <br /> ��IRS-Srom &= <br /> 42 7 IV l.J <br /> A� Return by the 12th of each month to: <br /> Date Signature ofA licant 11nVilpnmental Health Division <br /> Stockton, Ca. 95202 <br />