Laserfiche WebLink
AREA �f UNDERGROUND STORAGE TANK <br /> DBA DATE J/ /Z <br /> �~--�li�y �S PHONE y <br /> f6 -7 <br /> ADDRESS $ , F (� 0 p CITY <br /> OPERATOR 0AV1 PHONE <br /> OWNER e/� <br /> PHONE <br /> ADDRESS <br /> BILLING ADDRESS _ , of /!, n X 1 Zy -7 STGCGA OKZZ / <br /> CONTACT e tiJoj PHONE <br /> ADDRESS <br /> APH LOT SIZE 'SHORT TERM APCD PERMIT <br /> WATER PURVEYOR / � / J SANITARY DISTRICT <br /> FACILITY TYPE ASEPTIC _ �/ WELL �✓� <br /> TYPE 1 2 3 4 5 fYPE 1 2 3 4 5 TYPE 1 2 3 4 5 TYPE 1 2 3 4 5 <br /> TANK #1 TANK N � TANK Y TANK p <br /> STATE ID STATE ID STATE ID STATE ID <br /> PRODUCT _ PRODUCT UA/Ge&Jb_; PRODUCT , ATte - PRODUCT <br /> SIZE SIZE ItTM SIZE / �� SIZE <br /> PIPING PIPING PIPING PIPING' <br /> MONITOR MONITOR MONITOR MONITOR <br /> S � Oo �po <br /> GId vw�ti amy% <br /> aL- <br /> ��5, i F` 2 <br /> 61v <br /> IIST 4 6 / 86 <br />