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AREA 3Z UNDERGROUND STORAGE TANK DATE <br /> DBA re PHONE �� 3 3�-67ob <br /> ADDRESS Z.T-o y, _ ,� S�-t CITY 4op4?- <br /> OPERATOR PHONE �1 331 <br /> 67 <br /> - OWNER - -- --- --God - - - - - - - - -PHONE <br /> ADDRESS ZL./ w_ i r' -5-r-- f5Z4-"o <br /> BILLING ADDRESSC4 95Z o <br /> CONTACT 00/ PHONE ,(e9) 333- 6706 <br /> ADDRESS s i _ <br /> APN LOT SIZE SHORT TERM APCD PERMIT <br /> WATER PURVEYOR SANITARY DISTRICT <br /> FACILITY TYPE SEPTIC WELL <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 Z TANK # 3 TANK 4 TANK # <br /> STATE ID 3r/9/4yoL STATE ID STATE ID STATE ID <br /> PRODUCT v/G ge6,- PRODUCTy/G, PRODUCI p WZ PRODUCT <br /> SIZE !R, oor SIZE /f-,00v fr, SIZE cr>o SIZE <br /> PIPING 1Ae*Wh4? PIPING 1X,0S,s,,,,2e PIPING PIPING <br /> MONITOR MONITOR MONITOR MONITOR <br /> �A �LA <br /> JL <br /> M AV4,�b <br /> 4 <br /> O <br /> r�3 <br /> O kic <br /> EH 23 030 6/86 <br />