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_ 01$/2009 10:07 FAX 2098239095 <br /> 2002/002 <br /> 5?;fly <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> 3800 Comucopla Way, Some C, Modesto, CA 95358-949 <br /> Phone; 209.526.6700 Fax; 209.525,67,".; <br /> i <br /> SEPTIC TANK PUMPER DISPOSAL DEPORT � <br /> =r; K THE N40NTHIYEAR OF '�S09 � <br /> DISP05 SITE (Please Show Address): <br /> G°} <br /> BUSINESS NAME MONTHLY TOTALS a.allofls <br /> :�.G�DRESS I D NUMBED o <br /> TANK CAPACITY,T <br /> DOM,, ' <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> 3800 Cornucopia Way, Suite C, Modesto, CA 95358-9492 <br /> Phone: 209.525.6700 Fax' 209.525 677Y <br /> 7"Wy <br /> f . ..AJ.i II IAO!1!1 <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> FOR THE MONTHIYEAR 0 <br /> i DISPOSAL SITE (Please Show Address) <br /> I F <br /> BUSINESS NAME MONTHLY TOTALS Gallons <br /> ADDRESS I D NUMBER -- <br /> TANK CAPAUTY <br /> f <br />