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1I Local ld(SiR 2) Otat• I �J 3) City Code 9l 4 ) Status � !' <br /> Proq/Eleni Code 2j, <br /> ---- 0 V <br /> 5) Frmt ------- - <br /> Owner Info& 7) Name ------------------------------ 6) Dist. %Z-9 <br /> (3) Address ------------------------------ <br /> 9) City, St -------------------- !0) -- 11 ) ----- <br /> L2) Public Ag -- <br /> r1 Am 6 I Gt�YI c e. �j�U— <br /> Fac Info: 13 ) Name <br /> 14 ) Address -�•-__f(__,,�� I51 /�'- (��} -- <br /> 16) City, St - -1-t1 --- ----- 17)`x= 1O) ----- <br /> 19 ) g'I�1 9r rft <br /> ------------------------------ <br /> -- <br /> 201 Hall d(dr ---------- <br /> .,. <br /> 21 ) City . St -------------------- 22) -- 23) ----- <br /> 24 ) Phone ---------- <br /> 251 Fac Type -- 26) -------------------- <br /> Contacts : 27 ) Day/Phone ---------------'--------- <br /> 20) ---------- <br /> 29) Nite/Phone ------------------------- :.0) ---------- <br /> 11 Ctnr No 11 Ctnr No 11 Ctn. No <br /> 21 ot.t. Con t•ln v No --- 21 ot.t. Cont.ln.r No --- 2) ot.t. Cont.ln.r No --- <br /> 31 Con l.ln.r Type -- 31 Cont.ln.r Type -- 31 Conl.l�.r Type - - <br /> 31 Product Ntor.d -- 31 Product otor.d -- 31 Product Otor.d -- <br /> 6) C•P•Clty (gall ----- 61 cap.Clty (gall ----- 61 C.P.CIty (9.1 ) <br /> 71 Non poring Sy.t.. -- 71 Nonitorinp Sy.t.- -- 71 nonitorinp SV.lei. -- <br /> ` OI Conl liner st.tu. I a$ Conluner Sl.tu. -- OI Conl.uner SI-W. -- <br /> 11 Ctnr No ---- 11 Ctne No ---- 1 / Clnr No ---- <br /> -71 ot.t. Contaln.r No --- 21 stat. cont•ln.r No --- 21 ot.t. Coot.ln.r No --- <br /> 31 Cont.ln.r Type -- 31 Container TYPO -- 31 Cont.ln.r Type -' <br /> 31 Product stored -- 31 PradYCt stor.d -- 31 ProdUCt stored -- <br /> 61 Capacity 10.11 ----- 41 Gp.CItY 10.11 ------ 61 Capacity (gall <br /> 71 nonitorinp S'.l.. 71 Nonitorinp sy.t.- 71 nonito".9 Sy-t.- <br />