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UNDERGROUND STORAGE TANK DATE 2 8�' <br /> DBA rn M 0.1 T � rVG- ��► n~ <br /> e7 !� PH-011E <br /> '7 `7 5 vv, _�F L1'41 S( C[TYOV c .S- CS <br /> OPERATOR rvl /{/ ' c �- /z PHONE G� tj <br /> OWNER 7-46'�, <br /> ADDRESS �r <br /> BILLING ADDRESS S fig-" C <br /> CONTACT RA eL `A Al 0 PHONE _21V <br /> ADDRESS <br /> APN lb -n0 2:QLOT SIZE 23I SHORT TERM APCD PERMIT <br /> WATER PURVEYOR :906- G4( tV SANITARY DISTRICT 605 <br /> r:ACILITY TYPE ASEPTIC 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 # TANK B 2- TANK # TANK <br /> STATE I'D STATE IDA STATE ID STATE <br /> PRODUCT PRODUCT--' 19 PRODUCT D[., PRODUCT <br /> SIZE (� SIZEed SIZE SIZE 00 <br /> PIPING SL, ` PIPIN k PIPING PIPING <br /> MONITOR MONITOR MOYITOR .-� t NITOR �I <br /> �a r 'IX <br /> C� - <br /> �*?t4aJ <br /> ,Tv <br />