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<EA -_-� UNDERGROUND STORAGE TANK - DATE l 20 <br /> /DBA <br /> att.a-5-"C PHONE <br /> ADDRESS Sr CITY 5Ta,¢,4�. _ <br /> OPERATOR PHONE <br /> OWNER <br /> C PHONE_ (6 <br /> ADDRES -9/3 5 . <br /> BILLING ADDRESS D. r �( S`6� <br /> CONTACT ,�. PHONE <br /> ADDRESS <br /> APN LOT SIZE SHORT TERM APCD PERMIT <br /> WATER PURVEYORSTk� SANITARY DISTRICT �7KA <br /> FACILITY TYPE SEPTIC _ A-)Ipl JT' _WELL A --� <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 0,3KI TANK # I- TANK # TANK # <br /> STATE I D 1Lq3sZa o� STATE I D 5!y z STATE I D STATE ID <br /> PRODUCT A-'i PRODUCT o/j_ 3v� . PRODUCT w PRODUCT <br /> SIZE �[u © SIZE -i-,�7j60 SIZE SIZE <br /> PIPING PIPING PIPING <br /> PIPING <br /> MONITOR MONITOR MONITOR MONITOR <br /> 3 j,;-51 fir? <br /> Sf <br /> r <br /> �J <br /> LAW OFFICES OF , <br /> WC1H[AE]L & CAMMACK <br /> JOHN L. CAMMACK <br /> ATTORNEY AT LAW <br /> 3247 W.MARCH LANE,SUITE 120,STOCKTON.CA 95219-2334 <br /> TELEPHONE 209.473.8787 s FAX 209.473.8794 <br /> i <br />