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- UNDERGROUND STORAGE TAN17— <br /> ARS' DATE <br /> DBA �— L , (_, PHONE <br /> ADDRESS JQID S.!` WAkeCc-, ect CITY <br /> OPERATOR PHONE <br /> OWNER PHONE <br /> ADDRESS <br /> BILLING ADDRESS <br /> CONTACT 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 # TANK # TANK # TANK # <br /> STATE ID STATE ID STATE ID STATE ID <br /> PRODUCT PRODUCT PRODUCT PRODUCT <br /> SIZE SIZE SIZE SIZE <br /> PIPING PIPING PIPING PIPING <br /> MONITOR MONITOR MONITOR MONITOR <br /> EH 23 030 8/89 4i40FL <br /> $Z 3 - J5,/6 ve <br /> gig- 2331 <br /> 2oM <br /> ZZ 1v/ S- vnloivL E�`c <br />