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02/23/2009 15:31 FAX 2098239093 ra001/002 <br /> Mani + CES <br /> 3800'-Cor 2 <br /> W/71Y T <br /> IIRVF <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> AOR THE MONTH/YEAR OF N IF <br /> JlSP SAL SIVE (Please Show Address); <br /> if <br /> 51USINESS NAME GJi &L MONTHLY TOTALS —5CC.D Gallons <br /> ADDRESS �� �q � ----- I D NUMSER� � <br /> 9 _ TANK CAPACITY} <br /> ' S fanr <br /> � <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> 3800 Cornucopia Way, Suite C, Modesto, CA 9535�POkO_' <br /> Phor?e: 208.525.6700 Fax: 209.525.67'x'4 <br /> rry > <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> FOR THE NIONTH/YEAR OF <br /> DISPOSAL SITE (Please Show Address): <br /> SUSINESS NAME Qf-JEt+ 'Lt-- MONTHLY TOTALS—0,- Gallons <br /> i ADDRESS I D NUMBER <br /> TANK CAPACITY ) f <br />