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04/1012008 15:32 FAX 2008238095 1?1 002/002 ? <br /> ��a171 DEPARTMENT OF ENVIRONMENTAL RESOURCE'S <br /> 3800 Cornucopia Way, Suite C, Modesto, CA 95358-9492 <br /> Phone: 209,525.6700 Fax; 209.52; 67 <br /> q1y <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> �:OR THE MONTH/)"EAR OF o f <br /># DISPOSAL SITE (Please Show Address): <br /> �2Lig <br /> InAc"A C,g . <br /> (BUSINESS NAME 4-N0,---f7ou— MONTHLY TOTALS-, 3?-3 Gallons <br />' .-ADDRESS I D NUMBERa 1,40 <br /> TANK CAPACITY <br /> I <br /> a <br />. Slam <br /> JVAWW DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> F3800 Cornucopia Way, Suite C, Modesto, CA 95358-9752 ; <br /> Phone,' 209.525.6700 Fax: 209.525 6t <br /> i;mfy <br /> 14--ie„ mr NIP <br /> 3 <br />{ SEPTIC TANK PUMPER DISPOSAL,REPORT <br /> FOR THE MONTHIYEAR OF /hlq��9 <br /> a <br /> DISPOSAL SITE (Please Show Address), <br /> To .) <br /> a 3'RV UAV W We - <br /> ��Ttx�7v <br />' SIJSfNESS NAME "'' DPDLL MONTHLY TOTALS-02D: Gallons <br />+ ADDRESS I D NUMBER <br /> i <br /> TANK CAPACITY o , <br /> k <br /> i <br /> I <br /> i <br /> � I <br />