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■mE10/10/2011 07:53 FAX 2098239095 �, 2001/002 <br /> %E V <br /> 61 <br /> 3800 Cornu <br /> �• f`er. ,�l'`/ LVED /' IGS r r7. ;i,y F i <br /> RECE , <br /> OCT 11 2011 <br /> ECEIVE® <br /> ENVIRONMEN—AL HEALTH I I I �U 11 <br /> SEP i 1C TANK PUMPER15"AEEkEPQPZT <br /> / <br /> ., r'; inc '•10;1'T;;il'c,�R :, ' ENVI HEALTH <br /> p�AMIT/SERVICES <br /> 1 , lease Snow Address): <br /> .._SINESS NANiE_(�)/tift�MrcL MONTHLY TOTAL. JAX <br /> 1 0 NUM.3E <br /> TANK CAPACITAWY _ <br /> nr , <br /> i-'•ri;' <br /> Yui v DEPAR7-MENT OFEWIRONMENTAL RESOURCES <br /> r 3800 Cornucopia 'Nay, Suite C, &Aodesto, C,' 356-:qr <br /> Phone: 209.525.6700 =ax: 2 3.A2 <br /> my <br /> SEPTfC TANK PUMPER DISPOSAL, REPORT <br /> r . . ',= `.1L�NTh'll'EAR CF- � /( <br /> 1S D5. _ ITE (PlaaSe Snovy Address): <br /> Of <br /> 7 8ihtE:JJivnM _ L_,3uMONTHLY TOTALIS <br /> =, DRESS I D NU-MBF-F, <br /> TANK CAPACiTcgca�— <br /> Received Time Oct, 10. 2011 8: 28AM No, 2355 <br />