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PROGRAM HAZARDOUS WAS:vENERATOR <br /> DATE <br /> DBA AMU.Ic. n 11rf. �'TOw AREA <br /> ADDRESS _ pZ�� S ��- �DOY O CITY S+or.K+c)n <br /> P <br /> OWNER HO'N-E <br /> ADDRESS CITY <br /> BENEFICIARY PHONE <br /> CITY <br /> ADDRESS <br /> TENANT PHONE <br /> ApN LOT SIZE SHORT TERIJ <br /> IDENTIFY STRUCTURES <br /> PERMIT # DATE PER?;IIT DATE <br /> RECORDER'S � GD , TD , <br /> TD , RECO")- . <br /> JAY RANCHHOD <br /> American Tire and Tow <br /> Diesel Truck and Auto Repair <br /> EH 00 18 REV 6/83 8288 S.EI Dorado St.-P.O. Box 400 (209)982-1304 <br /> French Camp,CA 95231 Fax(209)983-8533 <br />