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AREA <br />DBA <br />ADDR <br />OPER.Am INej, <br />OWNER A )o-A.J <br />r <br />UNDERGROUND STORAGE TANK <br />fA <br />DATE _/i_l -�,6 <br />PH QNE 5 <br />CITY I l� <br />PHONE <br />PHONE <br />/ <br />ADDRESS <br />CONTACBILLING ADDRESS <br />CONTACT Q�L <br />ADDRESS ( <br />�-�-�� <br />1 �tr� C..r4 <br />e_4 L <br />r, <br />ll 5 36 <br />PHONE S2-6 1666 <br />APN LOT SIZE <br />SHORT TERM <br />APCD PERMIT <br />WATER PURVEYOR <br />SANITARY DISTRICT <br />FACILITY TYPE Cee-ryLAne rL( <br />SEPTIC <br />WELL <br />TYPE 1 3 4 5 TYPE 1 2 3 4 5 <br />TYPE 1 2 3 4 5 <br />TYPE 1 2 3 4 <br />5 <br />TANK # TANK N <br />TA14K # <br />TANK M <br />STATE IDU 1 0100 ( STATE ID <br />STATE ID <br />STATE ID <br />PRODUCT D7e- t I PRODUCT <br />PRODUCT <br />SIZE 00 <br />PRODUCT <br />SIZE <br />SIZE <br />SIZE <br />PIPING „ _�1 PIPING <br />{ <br />PIPING <br />PIPING <br />MONITOR MONITOR <br />MONITOR <br />MONITOR <br />