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0.7/17/26008 14:50 FAX 2088238P-1 Z002/002 <br /> S1917 <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> 3600 Comucopla Way, Suite C, Modesto, CA 95358-9192 <br /> Phone: 209,525.6 700 Fcx: 209.525.677-.1 <br /> �tY <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> rGR THE MCNTH/YEAR OF -z _ <br /> E <br /> FISP SAL SITE (Please Show Address); 1 <br /> t <br /> t <br /> 31-)SINESS NAME + MONTHLY TOTALS GallonsI <br /> ;',DDRESS oZWq �StQ 10 NUMBERSIU <br /> A)C,4 TANK CAPACITY <br /> SIGN � <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> 3800 Cornucopia Way, Suite C, Modesto, CA 95358-9;9:' <br /> Phone, 209,525,6700 Fax: 209.525,67/=: <br /> my <br /> SIli+ili+J 1/1/+ /rl! <br /> I <br />{ SEPTIC TANK PUMPER DISPOSAL, REPORT <br /> 4P R OF 6 <br /> FOR THE MCNTH/Y A <br /> DISPOSAL SITE (Please Show Address); <br /> 13 <br /> BUSINESS NAME �r ^�c.� MONTHLY TOTALS AZ Gallons <br /> ADDRESS _ I D NUMBER <br /> TANK CAPACITY_ <br /> i <br />