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08/,1511/2008 08:48 FAX 2098239nP <br /> , ° , _ 2002/002 <br /> stal]1 ` DEPARTMENT OF ENVIRQNMENTA� RESpURCES <br /> 3800 Cornucopia Way, Suite C, Modesto, CA 95358-94192 <br /> Phone: 209,525.8/00 Fc1x. 209,525 6777 , <br /> f/R7 <br /> I <br /> i <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> �:C-,R THE MONTWYEAR OF /09 <br /> DISPOSAL SITE (Res s Show Address): 1 <br /> I <br /> S)L)SINESS NAMELJ)tib/4'(_L MONTHLY TOTALS Goons <br /> ',DDRESS 22s4 '.., � � - I D NUMBER b 9 <br /> ! •rJ G 4slgc TANK CAPACITY.�g <br /> Sioni f <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> 3800 Cornucopia Way, Suite C, Modesto, CA 953c,' <br /> 58.91 <br /> Phone: 209.525.6700 Fax; 20;x.52,i,Eii'i7 I. <br /> 17ty <br /> E lira•na a of fns I•f! <br /> 1 <br /> i4 <br /> } <br /> } <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> FOR THE NIONTWYEAR OF <br /> t <br /> DISPO AL ITE (Please Show Address): M <br /> BUSINESS NAME_ L W-L'/` fL-4_ T MONTHLY TOTALS 56a) � -GaJons <br /> ADDRESS I D NUMBER <br /> _ TANK CAPACITY ) <br /> I <br /> k <br /> 3 <br />