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AREA 326 UNDERGROUND STORAGE TANK DATE R6 SSI <br /> DBA RarC Ma4-e/- PHONE %a4-PKq -325/0 <br /> ADDRESS r CITY Riverb7,k 9 36"7 <br /> OPERATOR N05" A(' PHONE <br /> OWNER _ Nag A i, lJ���� ��M14 PHONE <br /> ADDRESS <br /> BILLING ADDRESS ,Same ccs <br /> CONTACT Lh, T', hl; PHONE 2d`i -gbq _3,2yo <br /> ADDRESS saw e. <br /> APN d149- OT SIZE SHORT TERM APCD PERMIT <br /> WATER PURVEYOR SANITARY DISTRICT <br /> FACILITY TYPE I 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 #1 TANK # 2 TANK # TANK # <br /> STATE ID STATE IO STATE ID ;� STATE ID <br /> PRODUCT Rtqu/ar PRODUCT Pjli,,, 'c l4� PRODUCT C//4Z PRODUCT <br /> SIZE /,�pd q SIZE $'O�— SIZE zeao SIZE <br /> PIPING PIPINGPIPING PIPING <br /> i <br /> MONIT R MONITOR MONITOR MONITOR <br /> l <br /> � I <br /> EH 23 030 6/86 <br />