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I AREA _ / — UNDERGROUND STORAGE TANK DATE I �� <br /> DBA ��{/�1�/�J 7I> J_l' PHONE <br /> ADDRESS 3B// , IWtTi <br /> fdlll(,c�/{i7— CITY <br /> ((l <br /> OPERATOR #gler&G L•/i thW- PHONE <br /> OWNER �_06# f� PHONE <br /> ADDRESS I36)D I,Wi6z2W C �Ci'q <br /> ,PILLING ADDRESS '.f0ll S4 STb��mw r � <br /> CONTACT ��J L)f >n v"12 f l �2bbt viS6 PHONE <br /> ADDRESS // � /7]�'A/ LT l �, Flo �t� lug of 1 <br /> APN LOT SIZE SHORT TERM APCD PERMIT <br /> WATER PURVEYOR I'.rL1. Tilt SANITARY DISTRICT 5 <br /> FACILITY TYPE �j/�� J, D/(C 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 # Z TANK # 3 TANK # _w1Jr <br /> STATE ID STATE ID ��_ STATE ID STATE ID yrp7Q61p2 <br /> PRODUCT ^�nr PRODUCT 9FJWL44 PRODUCT D PRODUCT ggLSAA� <br /> SIZE /D SIZE FMQ6)VV-. SIZE SIZE 90(,p �p�L <br /> L hL✓Lu.�, <br /> r .�- -. � rKt::i��� PIPING /O(Zf�(J/ PIPING <br /> PIPIN ,�-r- PIPING -4 <br /> M NITOR _ MONITOR #T' MONITO --MONITOR 44tS <br /> A107- ro <br /> e <br /> fox N wog <br /> H � _ <br /> UST 24 6/86 <br />