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AREA UNDERGROUND STORAGE TANK DATE <br /> i <br /> DBA K4 Fzt. P,,k 36 PHONE Zo P_ <br /> ADDRESS 73 5- Al ;V 97, ZvZrC4, G,4- CITY J__�?ZL,r�• <br /> OPERATOR F F,iV c,g- tS f Ccs kZ jPHONE <br /> fQF,OWNER ' 6- e5 PHONE /V 239-3���I <br /> ADDRESS w. C-p w te4 S7, Pr-r6,6- 1 C-091- <br /> BILLINGADDRESS 73 9-/1/. /-7 /4-�`n/ 577 Aii-z <br /> CONTACT "WNN _z3y-r��� <br /> ADDRESS 7 3 S /V/.* /u��^� S{ v�Y Com}- 9�33� 35 —3�1� <br /> APN LOT SIZE 2e) ,Y 3S0 H T TERM APCD PERMIT <br /> WATER PURVEYOR' ('� r/,}- -t� SANITARY DISTRICT <br /> FACILITY <br /> Air <br /> FACILITY TYPE mil-J, ti"Ae7 SEPTIC WELL Al,e <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 # C TANK Z TAN # . N-K # �- <br /> STATE IDE IO 235200 T TE IOSZ-3q Z STATE ID <br /> PRODUCT (Mnlea cJ PRODUCT Al". DUCT 122ea a5 PRODUCT ' <br /> D 0 Z 0 SIZE 50 <br /> SIZE l 0 SIZE p , SIE '7 <br /> Ic C: — /',,4 <br /> PIPING G�-t�v►. PIPING ,S cf�a'�^._ PIPIN 5IA-C_ 1,or PIPIXG <br /> MONITO 5� MONIT s� M TOR�S— ITOR <br /> 411 4 .1, 1 <br /> 200 <br /> ���3` ,4 r <br /> U.3 4 <br /> '"firc�sr <br /> TAVK <br /> tj=( (,A <br /> UST 24 t,/Fif, /D'oT 7o SGst-L� . <br />