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r � <br /> AREA 6 UNDERGROUND STORAGE TANK DATE <br /> DBA (,� PH014E _— <br /> ADDRESS 40 K) LIuh��e,� CITY <br /> OPERATOR-- rL . _....,. _ PHONE <br /> OWNER PHONE <br /> ADDRESS <br /> BILLING ADDRESS 3 ,� <br /> CONTACT _Cid�r f �� L, fir-- _ PHONE <br /> ADDRESS__ 5 u <br /> APN LOT SIZE SHORT TERM APCD PERMIT <br /> WATER PURVEYOR SANITARY DISTRICT 0-0 5 <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 �p� STATE 10 7796-7-00L STATE ID 0 STATE ID qt)q <br /> PRODUCT PRODUCT U tj& PRODUCT Wk PRODUCT toQ <br /> SIZE E SIZE SIZE SIZE l,l,i L <br /> PIPING PIPING PIPING PIPING f` ? <br /> MONITOR MONITOR MONITOR MONITOR <br /> Cam <br /> otu a # <br /> _..yam ! ""„ •,' 't <br /> 'r� �IS•�%LMicr'�. <br /> t4 n <br /> UST 24 6/86 ` <br />