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1 <br /> ABOVEGROUND STORAGE TANK <br /> AREA DATE <br /> DBA --71 Uey L\-ne'--s 5--n L PHONE <br /> ADDRESS �Z� �IdC�IC l�i�mo�ncl� W ,� CITY <br /> OPERATOR PHONE <br /> OWNER 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 TYPE 1 2 3 4 5 TYPE 1 2 3 4 5 TYPE 1 2 3 4 5 <br /> TANK # TANK # TANK # TANK # <br /> STATE ID STATE ID STATE ID STATE ID <br /> PRODUCT PRODUCT PRODUCT PRODUCT <br /> SIZE SIZE SIZE SIZE <br /> PIPING PIPING PIPING PIPING <br /> MONITOR MONITOR MONITOR MONITOR <br /> Wer <br /> Ines <br /> MARK HANDEL <br /> EH 23 030 8/89 Director of Safety&compliance <br /> Phone(209)367-3208•FAX(209)333-0609 <br /> Cell(209)649-6814•mhandel@tigerlines.com <br /> 927 Black Diamond Way•P.O.Box 1120•Lodi,CA 95241-1120 <br />