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7:-0i/09/2009 09:13 FAX 2098239095 IaOO2/002 <br /> Slani DEPARTMENT QF ENVIRONMENTAL RESOURCES <br /> =' k <br /> 3800 Comucopla Way, Suite C, Modesto, CA 95358-9492 <br /> Phone: 209.525.6700 Fax: 209.525,6774 <br /> iply t <br /> Sfn i,ng,o 71dr 8uf - . <br /> i <br /> f <br /> I <br /> I <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> FOR THE MONTHNEAR <br /> OF Zr�p <br /> f DISPOSAL SITE (Please Shaw Address); <br /> f <br /> BUSINESS NAME�WL-Q nicL MONTHLY TOTALS Gallons <br /> ADDRESS S 1 b NUMBER �a <br /> TANK CAPACITY <br /> i <br /> PORI f <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> 3800 Comucopia Way, , ,Suite CModesto, 95358-9492 <br /> Phone; 209.525.6700 Fax, 209.525.6774 <br /> i <br />' fy <br /> Elnrran fu ur 141 OW <br /> SEPTIC TANK PUMPER DISPOSAL+REPORT <br /> - i <br /> FOR THE MONTHIYEAR OF.! �• { <br /> • f <br /> DISP SAL SITE (Please Show Address), <br /> I <br /> �39c� <br /> f <br /> BUSINESS NAME zJ±� MONTHLY TOTALS Gallons <br /> ADDRESS I D NUMBER RMAQVn } <br /> TANK CAPACJTY. -_- �. <br />