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f 05/19/2009 09:09 FAX 2098239095 f 001/003 <br /> '. StL7J7i D EIPARTME RCES <br /> Phone; 209,525,6700 Fax; 209,525 <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> 3 <br /> FOR THE MONTHIYEAR OF ( � <br /> J1SP 5 SITE (Please Show Address); <br /> J , <br /> BUSINESS NAME l,.ilnZ2npu— MONTHLY TOTALS 67 Gallons <br /> ADDRESS DC7 '4 154L,91 _ I C7 NUM3ER '� <br /> TANK CAPACITY <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> 1 3800 Cornucopia Way, Suite C, Modesto, CA 95356-91152 <br /> A-6Phone: 208.525.6700 Fox., <br /> qty <br />+.. lir,rnu ra rMr 1r,1 I <br /> J1J <br /> 7 <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> TGR THE MONTH/YEAR OF <br /> } <br /> +DISPOSAL. SITE (Please Show.Address): <br /> } <br /> BUSINESS NAME. MONTHLY TOTALS Gallons <br /> ADDRESS _ -- I D NUMBER p 9'"lq <br /> TANK CAPAOITY2g5E�2 _ <br />