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04/10/2009 15;32 FAX 2098239095 IM 0011002 <br /> gr NT aF FN rR0 ESOURCES3800 Cornucopia Way 5 ' G,-Modesto, CA 9 _9Y9� <br /> �3` 25,6 C7 1( Fes-09.'i5 r� <br /> - <br /> . P$ <br /> _531z. <br /> SEPTIC TANK BUMPER DISPOSAL. REPORT <br /> I <br /> FOR THE MONTHIYEAR OF /c�5 <br /> DISPOS L &TE (Please Show Address): <br /> k <br /> } <br /> 'USINESS NAME Q'V'!NmrcL MONTHLY TOTALS_11ACO _Gjl1 onc: <br /> ,ADDRESS ?=. ( L �. 4"f' _-_-- 1 D NUMBER <br /> 9dG TANK CAPACITY <br /> Slam r <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> 3800 Cornucopia Way, Suite C, Modesto, CA 05353-94J2 <br /> Phone: 209.525.8700 Fax; 209,525.67i` <br /> + my <br /> fu.„ea ie r. ie. tlrrr ' <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> I <br /> FOR THE MONTHIYEAR OF <br /> DISPOSAL SITE (Please Show Address): <br />} <br /> BUSINESS NAME 43"j-Jn&'- MONTHLY TOTALS cD -Gallons <br /> ADDRESS I C NUMBER�M 4 <br /> 1 C. TANK CAPACITY, € <br /> r a <br /> - .r <br />