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DATE <br /> UNDERGROUND STORAGE TANK PBOt1E ��' �It; <br /> ,AEA z� FGU G c� �D� <br /> CITY <br /> DBA D <br /> PHONE <br /> .ADDRESS l ..PB04E <br /> 141 111" <br /> OPERATOR <br /> OWNER <br /> ADDRESS 9 <br /> j3ILLING ADDRESS / <br /> PHONE <br /> CONTACT . <br /> APCD PERMIT------- <br /> ADDRESS SNORT TER <br /> LOT SIZE SANITARY ISTRICT <br /> APN WELL <br /> WATER PURVEYORTYPE 1 3 <br /> Z 3 4 5 <br /> FACILITY TYPE 3 4 5 TANK TYPE 1 <br /> 3 4 5 TYPE 1� TANK # 3 <br /> TYPE �► STATEy- <br /> SIZE <br /> K # TANK # STATE ID ILb 9� <br /> STATE ID 1 !Ci PRODUSTATE ID PRODUCT PRODU T SIZE <br /> SIZE D PRODUCT SIZE � PIPINPIPIN MONIT <br /> PIPING PIPING Z MONITOR NIONI OR <br /> MONITOR <br /> 46 <br /> 0 <br /> 1 <br /> 94 <br /> 6/86 <br />