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.08°'18/2009 10;07 FAX 209823AnQ5 IA0011002 <br /> Stahl5-W-, DEP AL RESOURCES <br /> 3800 -- CA - =192 <br /> :' <br /> S <br /> � pa <br /> r rlty �D <br /> • -r rrr Jur Y�� ' <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> FvR THE MONTH/YEAR 0r Q <br /> D1SPOS L S TE (Please Shaw Address); <br /> BE.)SINESS NAMEj)W'DM L _ MONTHLY TOTALS GaI�0i1 <br /> -,DDRESS 1 D NUMBER <br /> TANK CAPACITY <br /> 51ani r <br /> DEPARTMENT OF ENVIRONlV1E'N7'AL RESpURCE'S <br /> 3800 Cornucopia Way, Suite C, Modesto, CA 95359-9.192 <br /> Phone: 203.525.6700 Fax; 2G9,5235 b''%=f <br /> 1711y <br /> S flirr.l N 4r 1A 104 <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> FOR THE MONTHIYEAR 0FcSS*__Q!( <br /> DISPC AL SITE (Please Show <br /> w Address): <br /> I <br /> SllSINESS NAM N MONTHLY TOTALS`jz= Goons <br /> ADDRESS I D NUMBER <br /> TANK CAPACITY <br />