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AREA -_3a--23 Lszw? UNDERGROUND STORAGE TANKG <br /> DBA e DATE <br /> -- PHONE <br /> ADDRESS CITY <br /> OPERATOR {�.{, PRONE <br /> OWNER PHONE <br /> ADDRESS <br /> BILLING ADDRESS <br /> CONTACT <br /> PHONE <br /> ADDRESS <br /> APN LOT SIZE SHORT TERM APCD PERMIT <br /> WATER PURVEYOR SANITARY DISTRICT <br /> FACILITY TYPE SEPTIC WELL <br /> TYPE 1 2 3 4 5 TYPE 1 2 3 4 5 TYPE 1 2 3 4 5 TYPE 1 2 3 4 5 <br /> TANK #. ( i= TANK # A w,,"t TANK # TANK # <br /> STATE ID STATE ID STATE ID STATE ID <br /> PRODUCT PRODUCT PRODUCT PRODUCT <br /> _ <br /> SIZE �)h� SIZE `'7 SIZE SIZE <br /> PIPING P e ' PIPING c <br /> _ PIPING "-CA PIPING <br /> MONITOR MONITOR MONITOR MONITOR <br /> UST 24 6/86 <br />