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AREA �� 0 UNDERGROUND STORAGE TANK DATE /� <br /> DBA !F(G (.C— trc 4�Z iT7C C PHONE �z�-. Sri <br /> ADDRESS _��� f�,�� �1}�t=.I�t¢�,(ccc.� <br /> CITY �rlG�� �'/5f d Z <br /> OPERATOR �jt✓g4 PHONE <br /> OWNERt�,�tl(�cCcGL PHONE <br /> ADDRESS S� <br /> BILLING ADDRESS <br /> CONTACTPHONE <br /> r� i riq <br /> ADDRESS _ - - <br /> APN LOT SIZE SHORT TERM-----' APCD PERMIT J <br /> WATER PURVEYORSANITARY DISTRICT �Q <br /> FACILITY TYPErlow .4 SEPTIC WELL <br /> TYPE 1 © 3 4 5 TYPE 1 3 74 5 TYPE 1 (f�.3 4 5 TYPE 1 2 3 4 5 <br /> TANK # ��—,_)T TANK # TANK # jb,�700 TANK # `SSD <br /> STATE I D 6o,,OOD STATE I D STATE ID / app Z STATE I D1bYZoQ2 <br /> PRODUCT PRODUCT PRODUCT Pit2j5:L PRODUCT C C. <br /> SIZE SIZE SIZE SIZE S�Q <br /> PIPING GT`p PIPING r'LlLTT©W PIPING f(t'.GnQ,(,"; _ _ _ PIPING q (rLO <br /> MONITOR MONITOR MONITOR MONITOR #7 <br /> (Rv <br /> C3) �S,c�oQ�ai l�rese� ��nks <br /> l 'rdt�Si t wa(i� <br /> . �kLq I- - <br /> 5d <br /> UST 24 6/86 <br />