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05/11/2041 11:07 FAX .2098239095 1�j002/003 <br /> s. <br /> ',.''a 'rry�y"�'w� !./��• 1 VGy,r/�•f_�!,V-.V�—�1�01111n����.IiL1r! � r�rr C(l U ^r <br /> 3800 Corru5, Sulyd ^ <br /> i <br /> a; - <br /> - . ,,,, nay •.� <br /> i <br /> SEPTIC TALK PUMPER DISPOSAL REPORT <br /> TF_ Shovy /,ddress); <br /> i <br /> i <br /> _ YiNE SS3 N,,19E---��• MONTHLY TOT - � <br /> -':'?ESS I D NUMBE o <br /> TANK C„PACIT ;X) _ <br /> '•,.fin;' �.�` <br /> DEPAP7'MENT OF ENVIRONMENTAL RESGUPC�S <br /> 3800 Cornucopia Way, Suite C, Afodesrc Phone: 209,525,6700 2� <br /> 'i SEPTIC TALK PUMPER DISPOSAL, REPORT <br /> F. <br /> SITE ;Plaase Shovy Address); <br /> a � <br /> I ;ESS Nr1Ni NiONTV 7 Y <br /> HL , G r1t_S <br /> C; ir <br /> I D NL1M9EP 9y[� <br /> TANK CAPACIT` 6e;9-t>-- <br />;E <br /> 4 <br />