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r <br /> 70 <br /> AREA3ZS UNDERGROUND STORAGE TANK <br /> DATE p g q <br /> DBA ut-4n side, Mate-r-+ PHONE _ <br /> ADDRESS I pgyg /. P pn e)Ia is 120( CITY <br /> OPERATOR Audrey_ <br /> _PHONE <br /> OWNER et U//seegr0ler PHONE <br /> ADDRESS 6S S. Darts Re/ <br /> — �- 5�6N- 77`/0 <br /> BILLING ADDRESS as Owner` <br /> CONTACT Owuer / y6 NE <br /> ADDRESS F�f <br /> APN LOT SIZE SHORT TERM APCD PERMIT <br /> WATER PURVEYOR SANITARY DISTRICT <br /> FACILITY TYPE SEPTIC jes WELL c'vl <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 1l_ / TANK c2 T <br /> STATE ID TANK II <br /> TE ID STATE ID STATE ID <br /> PRODUCT CxnsofN PRODUCT <br /> R s PRODUCT PRODUCT <br /> SIZE 1 000 SIZE o SIZE SIZE <br /> PIPING PIPING PIPING PIPING <br /> MONITOR MONIT MONITOR <br /> MONITOR <br /> El2- <br /> u <br />