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02/16/010 42: 17 FAX 2098239095 1. Z 0021002 <br /> S/01171 <br /> D�' OF E - URCES <br /> 3800 Cornu ,StdjQ C, Modesto, CA 95358-9;92 <br /> 4 <br /> I <br /> i <br /> my <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> r:C+R THE MONTHIYEAR OF /a-J/v <br /> i <br /> DISPOSA SITE (Please.Show Address): <br /> SUSINESS NAME MONTHLY TOTALS � Gallons <br /> E <br /> ADDRESS I D NUMBER. PD�-1(40 <br /> TANK CAPACITY,,�MV <br /> Sl0l11 r <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> S 350-9ti�'^ <br /> 3800 Cornucopia Way, cite C, Modesto, CA 95 <br /> Phone: 209.525.6700 Fax. 209.525.5774 <br /> i <br />{ my ? <br /> Srr .i rI r,1O,Ir <br />[ M1 <br /> SEPTIC TANK PUMPER DISPOSAL„REPORT ` <br /> FOR THE NIONTH/YEAR OF <br /> r <br /> I - i <br /> i DISPOSAL SITE (Please Show Address); <br />` 3 <br /> ",)PCs” 'gyp- <br /> 6USINESS NAME MONTHLY TOTALS G� Callon <br /> .ADDRESS - � S�� d D NUMBER <br /> jai TANK TANK CAPACITY. ZM <br /> k <br /> r <br /> h <br /> f' 1 <br />