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I r4 <br /> r f / <br /> EA 70 LnJERGROUND STORAGE TANK DATE <br /> DBA PHONE <br /> P.DDRESS /OSE �l6�CLT�7� �/1sI CITY <br /> OPERATOR '& I pgrr PHONE �19fLt <br /> OWNER /VOI& t;:: UjAL nrl gr7MUCT7eAV PHONE <br /> ADDRESS " SWC W.'r/ `71e <br /> BILLING ADDRESS77TWCZA/ 25w, 6 <br /> CONTACT _ /7 C7OPHONE <br /> ADDRESS 9e:n /!J CgAtZIE(eX71dCl� ' <br /> APN LOT SIZE SHORT TERM APCD PERMIT <br /> WATER PURVEYOR _ SANITARY DISTRICTCl,! 2 <br /> FACILITY TYPE C) WIILI �i1 Ct4&" SEPTIC WELL <br /> TYPE 1, 3 4 5 TYPE 1 P 4 5 TYPE 103 4 5 TYPE 1 2 3 4 5 <br /> TANK #_ / —�. TANK # 7/ J� 9 . TANK # / ANK # <br /> STATE ID 00 STATE ID . � �ZP45 07- STATE IDgrA5-Gb ( STATE ID <br /> PRO DUCT17 (�aLk12 PRODUCT ,D � PRODUCT )ZF(oCLWIZ� : PRODUCT <br /> SIZE SIZE /&000 ( (QGr SIZE (000 6;/1-6 � , SIZE <br /> PIPING C 0 L JP ING = � IPING iiGT(d� .., 2L^ ING <br /> U v Vn <br /> /lr MO ITOR MONITOR <br /> MONITOR c�MONITOR (� `�- <br /> -� T%L <br /> nrs � _ _h <br /> cv <br /> GHpIiCiLZ <br /> 9 9 3 C. AG <br /> GJ <br /> / <br /> 9.39 <br /> l� l�1Pcflt�� ,red <br /> .IX . <br /> 3 Foqgo <br /> IP4 6 / 86 <br /> i <br /> .moi <br />