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11/21/2D08 09:02 FAX 2098239095 Z001/002 <br /> SlOfll rrj DEPARTMENT OF JRONME'NTAL RESOURCES <br /> 3800 Comu 'opia Way, Suite C, Modest `^ �;J'�- <br /> Phone: 209,525,6700 1= hi' r <br /> r Ilty <br /> i <br /> fin. Ul.I <br /> i <br /> SEPTIC TANK PUMPER DOPOSAL REPORT <br /> r .,D h-' THE MONTWEAR OF r "' <br /> DISE �5A SITE (Please Show Address). <br /> qL� ssa <br /> aUSkNESS NAME <br /> MONTHLY TOTALS G G�Ilo,,s <br /> nQDRE55 <br /> 1 D NUMBER -'JO <br /> CA 9S_"'C_6 TANK CAPACITY ^ <br /> I <br /> St vyDEPARTMENT OF ENVIRONMENTAL. RESOURCES <br /> 3800 Cornucopia Way, Suite C, Modesto, CA 95353-91_'2 <br /> Phone: 209.525,6700 Fax 209.526 677- i <br /> i <br /> SEPTIC TANK PUMPER DISPOSAL REPORT i <br /> AOR THE NIONTHIYEAR OF 0C_TIC>Er <br /> �lSPOSA SATE (Ple se Show Address): <br /> BUSINESS NAME 1�4111,Y,- __ __ _ MONTHLY TOTALS, yYGallons <br /> ADDRESS ___ I D NUMBER 630q'qo <br /> I TANK CAPAClTYJM__ <br /> 1 <br />