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o7/17r%009 14:50 FAX 2088238r . 0001/002 I <br /> r � Iffff <br /> S1an1 DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> 3800 Comucoplb Way, Suite C, Modesto, CA 95358-9.391 <br /> Phone; 209.525.6700 Fax: 209.525,577:, <br /> � , <br /> �fy .2 <br /> f 'ENTERED <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> rI'_JR 7HE MONTHIYEAR o a <br /> I <br /> 1 DISP SAL SITE (Please Shaw Address): <br /> rL& A2 <br /> aUSINESS NAME MONTHLY TOTALS gW GallOrl� <br /> r <br /> ACDRESS I D NUMBER-64Y940 <br /> TANK CAPACITYr,� Y: <br /> I <br /> Dani <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> 3800 Cornucopia Way, Suite C, Modesto, CA 95358-9191 <br /> Phone: 209.525.6700 Fax, 209.525.2"T= <br /> nfy <br /> Sll.re i J1 STI PIr I <br /> SEPTIC TANK PUMPER D-ISPOSAL., REPORT <br /> FOR THE MONTHIYEAR 0�,�� <br /> UiSPOSAL SITE (Please Show Address); <br /> BUSINESS NAME MONTHLY TOTALS Gallons <br /> ADDRESS 1 ti NUMBER <br /> TANK CAPACITY <br />