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-:- QUMERGROUND STORAGE TAPIR <br /> DATE f --7 /0-7 <br /> J <br /> AREA �{- - <br /> DBA E 7C SNS�/ri Z5 O`�^S '��e 'L P4 2A PHONE <br /> ADDRESS I C SCITY <br /> OPERATOR IIIA( LW ARI. jln 60 PHONE <br /> OWNER PHONE <br /> ADDRESS <br /> .BILLING ADDRESS <br /> CONTACT PHONE <br /> ADDRESS�1 , <br /> APN I% �M7-?LOT SIZE SHORT TERM APCD PERMIT <br /> WATER PURVEYOR SANITARY DISTRICT <br /> FACILITY TYPE SEPTIC WELL <br /> TA 0,( Sg 2 -?. T�}.b S l J-8 2- <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 J O TANKTANK } TANK ` <br /> STATE 'ID STATE ID STATE ID STATE ID <br /> PRODUCT V eJ LA PRODUCT UxJE6`6c--f. PRODUCT PRODUCT <br /> SIZE 'Too '2a P SIZE S'Csy fjq SIZE SIZE <br /> PIPING PIPING PIPING PIPING <br /> MONITOR MONITOR MONITOR MONITOR <br /> Te Ck C DCS-2- (b f S- 2, 1 2, <br /> p Lq -7 � <br /> EH 23 030 8/89 . <br />