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K 10/28/2008 11 :08 FAX 2098238095 Z002/002 � <br /> Stanl DENRTMENT OF ENVIRONMENTAL. RESOURCES <br /> 3800 Cornucopia lNay,-SU C, Modesto, GA 953589492 <br /> Phone: 209,525,6700 Fax. 209,525,6774 � <br /> yty s <br /> $In.mp ra e. fn. 9rr! <br /> 5 <br /> I <br /> SEPTIC TANK PUMPER DISPOSAL REPORT ? <br /> I <br /> FOR THE MONTHIYEAR QF .. <br /> DISPOSAL SITE (Please Show Address): <br /> N22 )LU.r - -- -- - ----- <br /> TA <br /> BUSINESS NAME MONTHLY TOTALS rr�" _ Gallons <br /> ADDRESS <br /> TANK CAPACITY.;2A6re) <br /> ' I <br /> ' l <br /> Stp17! r <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCES ; <br /> 3800 Comucopia Way, Suite C, Modesto, CA 953589492 <br />{ <br /> Phone: 209.525,6700 Fax' 209.525.6774 <br /> my <br /> Suvlrr to rr Gserf ' <br /> a <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> FOR THE MONTHIYEAR OF . �Ir� <br /> DISPOSAL SITE (Please Show Address): <br /> .�,- J ,IlJJ9•tl r� <br /> BUSINESS NAME LuMONTHLY TOTALS h � Gallons �; <br /> ADDRESS I D NUMBER <br /> TANK CAPACITY,,Z- ,) I w <br /> i <br /> 1. � <br />