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SIAIUS CODL�,/ �'l4 a � l� u)10 w ",-(- a <br /> 1 ) Local Id f-!LI-!LIState Id � 3) City Code 1� 4 ) Statue -- <br /> Pro9/Eleni Code, ,)- go 5 ) Prmt ------- - <br /> Owner In1ol 7) Name ---/ cr tl> t S // /�✓�✓� ------ 6) Dist. ,2 {- <br /> 8) Address __1_3� �_ 5 __Vn�UrJ <br /> 9 ) City, St - - �C4------- 10) '-' 11 > 133{ <br /> -f <br /> 12) Public Ag u� <br /> Fac Info : 13 ) Name <br /> 14 ) Address ------- IS ) - - - -- -- - --------- <br /> 16) City , St -------------------- 17 ) -- 18 ) ----- <br /> 19 ) DeA n ------------------------------ <br /> _61aj , - <br /> �, <br /> 20 ) Mail ddr ----- ---- <br /> 21 ) City . St -------------------- 22 ) 23 ) ----- <br /> "14 ) Phone ---------- <br /> -5 ) Fac Type -- 26 ) -------------------- <br /> Contacts : 27 ) Day/Phone ------------------------- 28 ) ---------- <br /> 29) Nite/Phone ------------------------- <br /> I ) <br /> ------------------------1 ) Ctnr No ---- 1 ) Clnr No 1 ) Ctnr No ---- <br /> 2) State Con tains No 21 State container Na 2) State Con(.ln.r No <br /> 3) --- <br /> Contaln.r Type -- 3) Cont.ln.r Type -- 31 Conl•Iner Type -- <br /> 3) Product Stored -- 31 Product Stored -- 31 Product Stored -- <br /> 6) Capacity (9.1 ) ----- 6) Capacity (g.l ) ----- 6) Capacity (9-ll <br /> 71 Hon poring sy.t.1. -- 71 Monitortng Sy.t.. -- 7) Monitoring Sy.t.. -- <br /> OI Cont.lner st.tu. -- OI COnt.lner Statue -- OI Cont.tne♦ Statu. -- <br /> 11 Ctnr No ---- ll Ctnr No ---- 1 ) Ctnr No ---- <br /> `I) State Con tamer No --- <br /> 21 State Container No --- 2) Stat. Cootain.r No --- <br /> M 11 Con t.in.r Type -- 11 Container Type -- 3) Container Type -- <br /> 4 <br /> 5) Product Stored -- 31 Product Stored -- 51 Product Stored -- <br /> 61 Capacity (pal ) ----- 61 Capacity 19.11 ----- bl Capacity (94 11 <br /> ' 7) Monitoring Sy.t.n 7) Honitorinp Sy-t.- - 71 Honitoring SY.I.. <br />