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IL>/ <br /> AREA UNDERGROUND STORAGE TANK DATE <br /> DBA ::r-V\lL_ PHONE �3jf ' 28U �/ <br /> ADDRESS �2-C)UOt Mcf &qp-� &4,� CITY !S32-o <br /> OPERATOR f "A5( :CNV PHONE <br /> OWNER p -GO Aj( �}e_. PHONE <br /> ADDRESS -&000 Mr /L Gib 32.o <br /> BILLING ADDRESS o � gox (�Sg lS� C�, JZ 9,3'Zid <br /> CONTACT Crzq�(y G, V rPHONE <br /> ADDRESS 7,Qlj()/ / /1 e �wh CA- qy-3 ZO <br /> APN LOT SIZE Zbb( X36d�h,nyi,.4ORT TERM APCD PERMIT <br /> WATER PURVEYOR �/ SANITARY DISTRICT - <br /> FACILITY TYPE SEPTIC �O WELL Ohl ✓1/� \ <br /> TYPE 102 3 4 5 TYPE 1 2 3 4 5 TYPE 1 2 3 4 5 TYPE 1 2 3 4 5 / <br /> TANK N I TANK N z TANK k TANK N <br /> STATE ID_��Q/ STATE ID a0,?&ATATE ID STATE ID <br /> PRODUCT.0 (eaole.J 0/15 PRODUCT b4A- �O PRODUCT PRODUCT <br /> SIZE 5p6) SIZE 57& GAC/ SIZE SIZE <br /> PIPING 5L(G{L4"vN PIPINGPIPING PIPING <br /> MONITO p C_ MONIT R� `' MONITOR MONITOR 1- <br /> �v <br /> o I <br /> t i � <br /> II <br /> 1 � <br /> rI <br /> Et' I <br /> ;�:�. pti U� <br /> r% <br /> pp)?Fvr <br />