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t <br /> DATE <br /> UNDERGROUND STORAGE TANK } PHONE <br /> ARE <br /> 1 11 CITY <br /> DBA <br /> PHONE <br /> ADDRESS o.1G 9c <br /> OPERATOR — <br /> K &1L <br /> OWNER <br /> ADDRESS <br /> PHONE <br /> BILLING ADDRESS I <br /> CONTACT <br /> APCD PERMIT--J <br /> ADDRESS SHORT TERM <br /> LOT SIZE <br /> SANITA <br /> APP1 Ry DISTRICT <br /> �,�. WELL '^ <br /> WATER PURVEYOR EPTIC �— 2 3 4 <br /> FACILITY TYPE N 4 S �� ��TYPE 1 2 <br /> 3 4 S TYPE 1 <br /> T� TYPE 12 3 "TANK # <br /> T TYPE 1 0 3 4 5 Z qI TANK # <br /> TANK # STATE ID <br /> STATE ID <br /> S TANK # � PRODUCT <br /> STATE ID PRODUCT <br /> PR STAVE ID /0 6r6 PRODUCT I� SIZE <br /> SI PRODUCT SIZE PIPING <br /> SIZE SIZE <br /> PIP PIPING ` MONITOR � <br /> PIPING �r��—� PIPING" <br /> MONI MONITOR MONITOR r <br /> MONITOR ---- =rte— <br /> SIZF� <br /> MONITOR PIPING <br /> MONITOR <br /> Ail-P <br /> l A (L It <br /> ry <br /> & crane service <br /> sales . service . leasing <br /> 7 <br /> J � <br /> m <br /> ' Y <br /> � Qs <br /> phone 209/948.1713 � <br /> y 2100 SANGUINETTI LANE <br /> „ ^^�WOCKTON. CALIF, 95205 <br />