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AREA UNDERGROUND STORAGE TANK <br /> ODA <br /> GATE <br /> Sri//�J� �� �___•__PHOIIE <br /> ADDRESS y �"�� /j� / CITY <br /> OPERATOR <br /> OWNER <br /> ADDRESS <br /> BILLING ADDRESSCONTACT <br /> 7 i• 73��/ = ---- <br /> ADDRESS ~ l/CliY9l�� PHONEd0 <br /> � ` 3-o3a 7 <br /> APH LOT SIZE SHORT TERM <br /> WATER PURVEYOR APCD PERMIT <br /> SANITARY DISTRICT <br /> FACILITY TYPE SEPTIC <br /> TYPE 1 2 3 4 5 TYPE 1 2 3 4 5 TYPE 1 2 3 4 5 WELL <br /> 1 2 3 4 5 <br /> TANK N / TANK Mme_ TANK # <br /> STATE ID TANK A <br /> STATE 10_ STATE ID STATE ID <br /> PRODUCT 4 PRODUCT PRODUCT <br /> SIZE J , LO SIZE PRODUCT <br /> SIZE SIZE <br /> PIPING PIPING PIPING <br /> MONITOR PIPING' <br /> MONITOR MONITOR MONITOR <br /> UST 24 6/86 <br />