Laserfiche WebLink
- Farm Tank Information Form <br /> FA11M TANK location.) <br /> CONTACT NAME <br /> JOY SEIFERT <br /> PHONE# (withareacak) <br /> I ( 209) 334-4314 <br /> \�Jlour L°h�el L �pz I �Cj. c NEAREST CROSS MEET <br /> Vle�e Gt`v- r o c r S � BRUELLA RD <br /> Notification <br /> wmation different from above.) <br /> 4n�5 Lo �-rQ- V- rNoD <br /> OPERA'COR CONTACT NAME <br /> OPERATOR PHONE# (with area code) <br /> lL ljau IE <br /> J e lLt (:� E:::: <br /> Notification. <br /> tlele if different from above.) <br /> 0 WN RR CONTACT NAME <br /> OWNlilt PHONE#(with area code) <br /> )DE <br /> CHECK HERE if this ADDRh»snuuw al Notification <br /> CITE CK APPROPRIATE BOX <br /> tx <br /> ACTIVE FARM TANK SITE (One or more underground TANKS > 1,100 gallon capacity) <br /> EXEMPT FARM TANK SITE (ALL underground'TANKS at site = to or < 1,100 gallon capacity) <br /> PERMANENTLY CLOSED FARM TANK SITE (ALL underground TANKS t 's_.�Pt^•�+��in place) <br /> _— ---— — ,<. .. <br /> UNDER 200,2r `� <br /> ROBERT L.POR�JOY_ANN SEIFERT <br /> T TAt "s OF REMOVAL UR <br /> 8665 E. COLLIER ROAD t1Z210 i 15URE IN PIACF. <br /> A (GA ACAMPO, CA 95220 <br /> CA <br /> O�ER OF <br /> F uo.ESTOOFFIM <br /> Sanwa Bank a�mcHE B <br /> O ]GBp MC HENRY AVENUE <br /> COIItOTie MOOESTO CP 85360 I /� 1(/ <br /> THIS AOAA /{y //�T iD CORRECT. <br /> NnME 1: 1210004001: 1081rr1003S611' 200 2tI' N„- - <br /> OFFICE <br /> SWEEPS# I WMP# IIAC CODEI DIST CODEI#AC17VE wr I11EXEM1'TUG•r #CIASED UGT SWEEPS PROMISUBCODP. DATE <br /> ET-124 044(12188) <br />