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10/28/2008 11 :06 FAX 2098239095 v41/vuz <br /> Slani DEPA RTME:NT�1=_ NYS_ NMENTAL RESOURCES <br /> -- sta�A`' 5� 49-2— ; <br /> is 3800�ornuco�p[a Way�Surte C, Mode , <br /> _. er 2.09.5. 5,.6 74-9-- �aX; S 25-6774 <br /> E <br /> 1 R!y r214+f Ft�✓ <br /> ENTERED <br /> SEPTICTANK PUMPER DISPOSAL REPORT <br /> FOR THE MONTHIYEAR OF <br /> ❑ISPOSAL SITE (Please Show Address): <br /> I21 <br /> BUSINESS NAME r • ', MONTHLY TOTALS .�' Gallons <br /> -.� �rj I D NUMBER •' �' i <br /> �,DDRE55 "'� - <br /> TANK CAPACITY <br /> SI°�I DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> 3800 Carnucopis Way, Suite C, Modesto, CA 95358.9493 j <br /> Phone: 209,525.5700 Fax 209.525,6770 <br /> 1 <br /> r nfY <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> FOR THE MONTHIYEAR OF <br /> DISpOSAL SITE (Please Show�All,,,�, ; <br /> re~ � <br /> L•" <br /> 'nye'.1 t4G 1 <br /> BUSINESS NAME MONTHLY TOTALS/C4W` � ._Gallons I <br /> ADDRESS I D NUMBER ,J� <br /> I <br /> TANK CAPACITY-=2 <br />