Laserfiche WebLink
09/25-/2008 071-33 FAX 2098239095 IR001/002 <br /> L) .,r ti,�.C:7.E�� r1JX <br /> myp' <br /> Su•r.np ton Ih.Sri( <br /> i <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> FOR THE MONTH/YEAR OF <br /> DISPOSAL SITE Pleas$ Shaw Address).- <br /> BUSINESS NAME 60(,A r MONTHLY TOTALS Gr7 Gallons <br /> ADDRESS I D NUMBER <br /> CA - TANK CAPACITY_ <br /> l S1ani r <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCE'S <br /> 3600Cornucopla Way, Sulte C, Modesto, CA 95358-9492 <br /> Phone: 209.525,6700 Fax: 209,525,6774 <br /> my <br /> 1+„Lr <br /> fp r,Ih, A.,I <br /> I <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> FOR THE MONTH/YEAR OF r <br /> I <br /> a: DISP SAL SITE (Please Shaw Address). <br /> 3 � <br /> it <br /> BUSINESS NAME ! i+►, MONTHLY T0TALSTCCQ Gallons <br /> ADDRESS I ti NUMBER <br /> TANK CAPACITY <br />