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43/25/2009 10:01 FAX 2098239095 1a002/002 { <br /> S/L7R/ I DEPARTMENT OF ENVIRONMENTAL. RESOURCES <br /> 3800 Cornucopla Way, Suite C, Modesto, CA 95358-949 <br /> Phone; 209,525.6700 Fax; 209.5256774' <br /> ' my <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> i <br /> FCDR THE MONTH/YEAR OF !q7 <br /> DJ PQ AL SITE (Please Show Address), <br /> BUSINESS NAME MONTHLY TOTALS Gallons <br /> ADDRESSt D NUMBER g?30 M <br /> TANK CAPACITY2$� <br /> SlaRl <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> 3800 Comucopia Way, Suite C, Modesto, CA 95358-9452 <br /> Phone., 208,525.6700 Fax; 209.525.677: <br /> my <br /> (I ri nnr li it IAr drll <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> FOR THE MONTH/YEAR OF <br /> t • <br /> DISPOSAL SITE (Please Show Address): <br /> i <br /> BUSINESS NAME MONTHLY TOTALS J � Lallans <br /> ADDRESS I D NUMBER ,9PVO <br /> f TANK CAPACITY_j:�V&JW <br /> i <br />