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11/09yLN09 08:39 FAX 2098239095 0001/002 <br /> p5rAff <br /> DEPARTMENT OFP(/jRONMENTAL RESOURCES <br /> 3800 Comucopla Way, Suite C, Modesto, CA 95358 <br /> Phone; 209.525.6700 Frrx; 209.52i <br /> my , <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> ".)R THE MONTH/YEAR OF OP Q <br /> �15P0 R SITE (Please Show Address); <br /> BUSINESS NAME MONTHLY TOTALS ay4)1 Gallons <br /> �pDRESS I D NUMBER f <br /> - TANK CAPACITY <br /> Sf0(1! f <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> 3800 Comucopia Way, Suite C, Modesto, CA 95356-91-62 <br /> Phone. 209.525,6700 Fax: 209-621-5.67-1--1 <br /> my <br /> IJ it IA. dlrr <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> OR THE NIONTH11'EAR OF <br /> DISPOSA SITE (Please Show Address); <br /> C` l <br /> BUSINESS NAME MONTHI+Y TOTALS..67,Z0 Gallons <br /> ADDRESS 1 D NUMBS t 0 <br /> TANK CAPACITY�� <br />