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i. # <br /> ;Lo l <br /> AREA �? <br /> . UNDERGROUND STORAGE TANK <br /> DBA DATE <br /> PHONE <br /> ADDRESS - <br /> OPERATOR CITY <br /> HONE <br /> OWNER tri PHONE <br /> ADDRESS <br /> BILLING ADDRESS <br /> CONTACT /I PHONE <br /> ADDRESS <br /> APH1 - 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 # / TANK # - TANK # TANK # <br /> STATE ID STATE ID STATE ID STATE <br /> Lt�t <br /> PRODUCT PRODUCT t�/1I�uaQ PRODUCT Lam - PRODUCT <br /> D <br /> SIZE g'(SDD 5IZESIZE O SIZE �& <br /> �— f d _ /p <br /> PIPING PIPING PIPING <br /> PIPING <br /> MONITOR <br /> MONITOR MONITOR MONITOR <br /> Gk4JTLI NE <br /> Goo GALLoo <br /> ff� <br /> 000 GARtIZ <br /> i <br /> G-A5 <br /> Do0 <br /> W. T. JORDAN <br /> j REALTOR <br /> Phone 835-1313 <br /> Res.Phone 835-1316 <br /> UST 24 6/85 1101 Houy Drive Tracy,California 95376 <br />