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+^ - 11:/23/2009 09'. 15 FAX 2098239095 2002/002 <br /> Slav/ r ' <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCES ; <br /> 3800 Comucopla Way, Suite C, Modesto, CA 95358-9492 <br /> Phone: 209.525.6700 Fix: 209 525.5774 <br /> ly <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> FOR THE N40NTH/YEAR OF <br /> DISP S L ITE (Please Show Address): <br /> &40 .— <br /> BUSINESS NAME MONTHLY TOTAL <br /> 5 <br /> Gallons <br /> .ADDRESS I D NUMBER rD� <br /> TANK CAPAC{TY �W <br /> 1 <br /> Slani <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> 3800.Comucopia Way, Suite C, Modesto, CA 95358-9491), i <br /> Phone; 209.525.6700 Fax: 209.525.6771 <br /> k <br /> my 1 <br /> I <br /> SPPTIC TANK PUMPER DISPOSAL, REPORT <br /> FOR THE MONTH/YEAR OF a Q <br /> DISPOSAL SITE (Please Show Address); <br /> BUSINESS NAME LcJrA0rbl0LL _ MONTHLY TOTALS G,7Ilons <br />{ ADDRESS _-_ -- - I D NUMBER <br /> TANK CAPACITY.. <br /> i <br /> F <br />