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081,1 1!2009 08:47 FAX 2098238-00� [A 001!002 <br /> Slam ► DEPARTMQLTOFA CR-ES'0tJRCES <br /> 3800 Cam u0pralra sto, CA 95358-9492 j <br /> ane, 209,525,6700 Fax; 20575t-,137677•,- <br /> n/y <br /> ENTERED ro �� <br /> r <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> i:OR THE MONTH/YEAR OF <br /> DiSPOSA S TE (Please Show Address). <br /> 3got, �' 4Z <br /> I <br /> i'USINESS NAME -_Afq _- MONTHLY TOTALSL `' f9a) Gabs <br /> ADDRESS 1 0 NUMBER 4 O t <br /> TANK CAPAC7Yc747) <br /> Slam <br /> DEPARTMENT OF ENVIRONMENTAL RESOUfSCE,S' <br /> t 3800 Comuoapia Way, Suite C, Modesto, CA 95358-9491' <br /> Phone: 209.525.67'00 Fax: 209.525.67'7.d <br /> gy <br /> SEPTIC TANK PUMPER DISPOSAL REPORT � <br /> FOR THE MONTH/-YEAR OF { <br /> DISPOSAL SITE (Please Shaw Address); <br /> `I <br /> BUSINESS NAMEWWIAZ%'91- MONTHLY TOTALS—X&b Galion;: <br /> r ADDRESS I D NUMBER &WYSU <br /> TANK CAPACITY <br /> i <br />