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05, �. <br /> :r <br /> AREA UNDERGROUND STORAGE TANK ��� DATE <br /> OBA _ _ xc*i Juevuyow �L�7C� <r PHO14E Q57 S <br /> ADDRESS 655 (y( T ((r c CITY <br /> OPERATOR C' PHONErfZ2 <br /> OWNER fir- PHONE <br /> ADDRESSGl2Gl •_...�_ c X010 16��-� � <br /> BILLING ADDRESS ll-1 1�Ch.yl <br /> CONTACT PHONE --� <br /> ADDRESSD l ql(v <br /> APN LOT SIZE SNORT TERM APCD PERMIT <br /> WATER PURVEYOR SANITARY DISTRICT <br /> FACILITY TYPE �py�ytt2GI_f¢L _ _ SEPTIC WELL /p-IStr3f�l <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 # I TANK # TANK # TANK # <br /> STATE ID STATE ID, STATE ID STATE. I D <br /> PRODUCT J)( iF& PRODUCT r PRODUCT PRODUCT <br /> SIZE 0670 d-( SIZE SIZE SIZE <br /> PIPING IPING PIPING PIPING <br /> MONITOR $ MONITOR MONITOR MONITOR <br /> ----. .._-_.__ _------------____. . ----------- <br /> 'r A14 <br /> --.._'ref '} f <br /> ! axe=tisr?• 7 ,} � �� <br /> �I <br /> I <br /> r <br /> AtST 24 6/85 <br />