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ABOVEGROUND STORAGE TANK <br />AREA } <br />DATE <br />DBA �/�7 <br />PHONE <br />ADDRESS <br />CITY L� <br />OPERATOR <br />PHONE <br />OWNER <br />PHONE <br />ADDRESS <br />BILLING ADDRESS <br />CONTACT PHONE _ <br />ADDRESS <br />APN LOT SIZE SHORT TERM APCD PERMIT <br />WATER PURVEYOR SANITARY DISTRICT <br />FACILITY TYPE SEPTIC WELL <br />TYPE 1 2 3 4 5 <br />TANK # <br />STATE ID <br />PRODUCT <br />SIZE <br />PIPING <br />MONITOR <br />EH 23 030 8/89 <br />TYPE 1 2 3 4 5 <br />TANK # <br />STATE ID <br />PRODUCT <br />SIZE <br />PIPING <br />MONITOR <br />TYPE 1 2 3 4 5 <br />TANK # <br />STATE ID <br />PRODUCT <br />SIZE <br />PIPING <br />MONITOR <br />TYPE 1 2 3 4 5 <br />TANK # <br />STATE ID <br />PRODUCT <br />SIZE <br />PIPING <br />MONITOR <br />