Laserfiche WebLink
EAUNDERGROUND STORAGE TANK DATE <br /> t DBA <br /> PHO14E <br /> ADDRESS1,JA CITY L,d <br /> OPERATOR Z a) PHONE <br /> OWNER �� _ PHONE <br /> ADDRESS <br /> BILLING ADDRESS C? <br /> CONTACT PHONE <br /> ADDRESS S <br /> APN LOT SIZE SHORT TERM APCD PERMIT <br /> WATER PURVEYOR ldntv 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 # 41 TANK # 6"'-- ` TANK # 0-1 TANK # d <br /> STATE ID 1958?w( STATE IDIg5$�oO2 STATE ID 12&8 co3 STATE ID lgs83or�4 <br /> PRODUCT PRODUCT REc,uL,,w, PRODUCT �Py�v_M�.Ii• PRODUCT D-C•C <br /> SIZE j(_),Qb ._� SIZE _S-000 SIZE _?,(yob SIZE d <br /> PIPING PIPING PIPING&,i_,A� PIPING A)/A <br /> MONITO 5- MONITOR MONITORS MONITORS-J <br /> Avv <br /> �► ��� -7`Z,1 1 -7/ <br /> awl <br /> S'S <br /> 10 000 <br /> -5 �U <br /> POO o <br /> �D <br /> - ssv <br /> nwsur p x-t'�: J.-R. fAor-JAr,( C-+ts) cr -ozz4 <br /> UST 24 6/86 <br /> r <br />