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I r <br /> AREA _ UNDERGROUND STORAGE TANK DATE oL I F7 <br /> DBA 6b I PHONE C �(plo— 5 35 <br /> ADDRESS �,(��,�_ CITY J�07 V <br /> OPERATORT > <br /> -5, HONE (p -5135 <br /> OWNER PHONE <br /> ADDRESS ! <br /> BILLING ADDRESS <br /> CONTACT �l rn h2AIL�—T / PHONE <br /> ADDRESS '� 5 4( N tj t tS s yi (,t, t� <br /> APN J7 -/do-a/ LOT SIZE SHORT RA APCD PERMIT <br /> WATER PURVEYOR SANITARY DISTRICT <br /> FACILITY TYPE SEPTIC WELL <br /> TYPE 1 p® 3 4 5 TYPE 1 2 4 5 TYPE 2 3 4 5 TYPE 1 2 3 4 5 <br /> TANK #f ' TANK # ^y TANK # TANK # <br /> STATE ID_103-70061 STATE ID 18700Dy STATE ID STATE ID <br /> PRODUCT PRODUCT PRODUCT PRODUCT <br /> SIZE SIZE SIZE SIZE <br /> PIPING PIPING PIPING PIPI G <br /> MONITOR ,_ MONITOR ld:-,5 MONITOR MON TOR <br /> s u <br /> �1 <br /> r <br /> 3 <br /> I <br /> V YL <br /> (ST 24 6/86 <br />