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04/09/2009 09: 13 FAX 2098239095 <br /> 2001/002 <br /> Slam r DEPARTMENT OF ENVIRONMENTAL RESOURCES } <br /> (p� 3800 Corrnucopla Way, Suite C, Modesto, CA 95358-9`92 <br /> (CE( Y[E (D, hone: 209,525,5700 F&x, 209.52 ;.67 i'.-. <br /> my .SAN 0 9:11009 <br /> EN IR- W ENT HEALTH <br /> PlERVICES ` 4V-;— <br /> SEPTIC <br /> O l 3 <br /> SEPTIC TANK PUMPER DISPOSAL REPORT ` <br /> FOR THE MONTH/YEAR OF,,, --- ^ <br /> DISPOSAL SITE (Please Show Address); <br /> M11-J` _ _ <br /> "USINESS NAME MONTHLY TOTALS S!C Galb[ns <br /> ADDRESS I D NUMBER <br /> TANK CAPACITY <br /> Sloni <br /> LDEPA RTMFNT OF ENVIRONMENTAL RES 0URCES <br /> 3800 Cornucopia Way, Suite C, Modesto, CA 95350 979" <br /> Phone: 209.525,8700 Fax: 209 52,5.8; <br /> ;1 /71�y <br /> f <br /> l <br /> SEPTIC TANK PUMPER DISPOSAL. REPORT <br /> i <br /> FOR THE h1CNTH/YEAR OF / <br /> DISPC AL SITE (Please Show Address): - - - - -�-T <br /> BUSINESS NAME MONTHLY TOTALS / /00 Gallons ' <br /> ADDRESS I D NUMBER r-/p <br /> TANK CAPACITYD '. <br /> i <br /> k <br /> { <br /> r <br /> i <br /> 1 <br />