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0- <br /> AREA <br /> UNDERGROUND STORAGE TANK DATE <br /> DBA �� .c.aoN�c ( T1,,e Scoik C'rn,� � PH011E3�ys- <br /> ADDRESS 23390 6.,,4 f'/oa•{_ ( CITY Lj,,dP;,, CA <br /> OPERATOR PHONE Wpm, -gg <br /> OWNER PHONE <br /> ADDRESS r?4. ae_,r Yq Gi�o%N �A <br /> BILLING ADDRESS 134mr os '0(3,41 <br /> CONTACT ,(Prr_ _ 1�,lnoF .,, PHONE <br /> ADDRESS <br /> APNOq3-1EO- r)3 LOT SIZE SHORT TERM APCD PERMIT <br /> WATER PURVEYOR SANITARY DISTRICT <br /> FACILITY TYPE SEPTIC qes 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 / TANK 1 02 TANK f 3 TANK # <br /> STATE ID STATE ID STATE IO STATE ID <br /> PRODUCT PRODUCT !>>rP/ PRODUCT gas r PRODUCT <br /> SIZE LZ000 SIZEle.nod SIZE _ w SIZE <br /> PIPING PIPING PIPING PIPING <br /> MONITOR MONITOR MONITOR MIONITOR <br /> Fet mqp of sirtt- See reverse <br /> �ta,-fs f Gtit�/ 40 <br /> 14 11 <br /> q30(t <br /> UST 24 6/86 <br />