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05/11/20J,1 11:01 FAX 2098239095 fA003/003 <br /> s v ..rrr-,rr,r ,rx • I <br /> 3800 co SuIIa C, f odes(o, C; �_�cJRC7�5 <br /> s. S;::PTlc TANw pi "PER DISPOS A, R EPOR?" <br /> S INE <br /> f' <br /> __ ` Tor,�,L_ <br /> -, �..' 4 1. 0 I VI U I y 1 B E <br /> TANK CPP,CiT <br /> r <br /> i <br />{ +;0 DFPARTMiVT OFENVIRONMENT' L SQUfiC."�C' <br /> �. k >a RF <br /> :,�,:• - ` 3800 Cornucopia Way, Suite C, Agodesto, "A "52 <br /> Phone: 20,9.525.67 ^ tea, _• <br /> SEPTIC TANK PUMPER DISPOSAL ?DEPORT. <br /> IR OFl <br /> SITE ,Plaase Sho'vv Address}, <br /> MONTHLY TOTALS <br /> l D NU,MBEF <br /> --��_ TANK CAPr,CiT` <br />