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AREA z4a I ✓ UNDERGROUND STORAGE TANK DATE . (0 3-� <br /> DBA (� °4 ecru l p m eu r eco . PHOpE <br /> ADDRESS `7 q:]� W ' I I +k & CITY —, <br /> OPERATOR F2AtiJk ('nPhl() PHONE 835�Ya ► <br /> OWNER PHONE <br /> ADDRESS 74Qp w <br /> _ <br /> _ s <br /> BILLING ADDRESS -I4jq W • I I t 9 I sra S53 <br /> CONTACT 7ftj y Co6h10 PHONE <br /> ADDRESS <br /> APN 237-,4oU of LOT SIZE SHORT TERM APCD PERMIT <br /> WATER PURVEYOR PQIUa.f-pl SANITARY DISTRICT 0,071 <br /> FACILITY TYPEFiay 'F- �U,pi-' SAA1129 <br /> PTIC WELL <br /> TYPE 1 2 3 4 5 TYPE 1 2 3 TYPE 1 2 3 4 5 TYPE 1 2 3 4 5 <br /> TANK # TANK # a- TANK # TANK # <br /> STATE ID I5UL o ooI STATE ID STATE ID STATE ID <br /> PRODUCT PRODUCT {�Qr�µ�aw-.._ PRODUCT PRODUCT <br /> SIZE 55U SIZE _ SIZE _ SIZE <br /> PIPING PIPING PIPING PIPING <br /> MONITOR W'z rs 12 MONITOR 6bjffk- L- MONITOR MONITOR <br /> W Eleycr*K 5f. <br /> C)F,= 1c <br /> s <br /> u <br /> vi <br /> 550 4 000 <br /> • �Z(l.PC�� ® �I <br />