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UNDERGROUND STORAGE TANK '� DATE <br /> DBA *yam PHONE jj*w r y � <br /> ADDRESS CITY <br /> OPERATOR PHONE. <br /> OWNER 'PHONE <br /> ADDRESS <br /> ~ BILLING ADDRESS <br /> CONTACT $: f I PHONE yr Iy-Yjr/3 <br /> ADDRESSjj/, 6Wjr O.M& !f= <br /> .APN LOT SIZE SHORT TERM APCD PERMIT <br /> WATER PURVEYOR. SANITARY DISTRICT <br /> .FACILITY TYPE �lttd _ SEPTIC WELL <br /> TYPE 1. & 3 4 5 TYPE 1613 4 5 'TYPE 1 t 3 4 5 TYPE 1 2 . 3 4 5 <br /> TANK #. TANK # \ .TANK # /t/ _ TANK # <br /> STATE ID- STATE ID. O STATE IDSTATE ID <br /> PRODUCT PRODUCT PRODUCT PRODUCT <br /> SIZE • SIZE _f SIZE SIZE <br /> PIPING PIPING PIPING PIPING <br /> MONITOR MONITOR MONITOR 7 MONITOR <br /> 9a Zg 4a <br /> *m <br /> sus <br /> f <br /> ANUT4F "it sea <br /> P�tu'b <br /> !os <br /> 6 86 <br /> UST 24 / <br />