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STATUS CODE :'... —*r OW "'r 01 <br /> COTE: 3I3 � rb <br /> S�NS'oS'3 SWEEPS � L}o - <br /> ------ 3 ) City Code -- 4 ) Statue <br /> ) <br /> Pro9/Flerl Code -- <br /> Owner Inio1 7 Nims �e✓✓evo K(� 5) Prmt - <br /> - <br /> ¢,,,� ------ <br /> _______________ f � l✓.,s� <br /> — <br /> (3) Addressp'� > 1`i 6) Dist. <br /> -- <br /> Me <br /> 9) city , St ----__ 45340 <br /> 10) <br /> 12 ) Public Ag -- <br /> Fac Info : 17 ) Name <br /> 14 ) Address ��--'v 16) City .City . St _ <br /> ---------- 17 ) -- 18) ----- <br /> 19) Deal /Own ------------------------------ <br /> 20) Mail Addr <br /> 21 ) City . St -------------------- <br /> 24 ) Phone _--__--_-- <br /> 25) Fac Type -- 26) -------------------- <br /> Contacts : 27 ) Day/Phone ------ <br /> 29) Nite/Phone ------------------------- <br /> 30) ---------- <br /> 1 ) Ctnr No ---- <br /> 1 ) Ctnr No ---- 1 ) Ctnr No -___ <br /> 2) state Container No --- <br /> 2) State Con tamer No --- T) state Con <br /> 3) Con t♦mer Type -- t lner No <br /> 3) Product Stored --- <br /> 3) Container Type -- 3) Con to mer Type <br /> -- -- <br /> 3) Product Stored _ 3) Product Bt <br /> 6) capacity (gal ) _____ ored <br /> 7) monitoring SYetew <br /> 6) Capacity (9.1 ) 6) Capacity (9&1 ) <br /> -- ------ <br /> BI Container Statue <br /> 7) Monitoring Systeia -- 7) Nonitorin9 S <br /> ` -- ystem <br /> -- <br /> B) Container Status -- 6) Container Status -_ <br /> 1 ) Ctnr No --__ <br /> 11 Ctnr No ---- 1 ) Ctnr No <br /> �) stale ---- <br /> Container No --- Z) State Container No ___ <br /> 2) st•to Con t•lner No <br /> 3) Con tamer Type -- 3) Container Type __ --- <br /> 31 Container Type <br /> 3) Product Btored <br /> -- 3) Product Stored -- 31 Product Btored <br /> 61 Capacity (Nal ) -- <br /> 6) Capacity 19.11 <br /> ------ 6) Capacity (gal ) <br /> nn Svsten -- 71 Nonito"n <br /> g Svsten <br />