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..8 8/08/2008 07:59 FAX 2098239095 IM 001/003 <br /> ty <br /> - Stirrup ro a.rar Brff I � i i <br /> ENTERED s <br /> SEPTIC TANK PUMPER DISPOSAL REPORT - -�-- <br /> t <br /> { FOR THE MONTHIYEAR OFA <br /> D2SPOSAL SITE (Please Show Address): <br /> { r l <br /> l - ' <br /> i <br /> BUSINESS NAME w+�,bftiw- _ MONTHLY TOTALS ,4LX> Gallons <br /> ADDRESS I D NUMBER aS lWo <br /> „}co TANK CAPACITY ,a <br /> 1 SlLO=i <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> 1, 3800 Comucopia Way, Suite C, Modesto, CA 95358-9492 <br /> Phone: 209,525,6700 Fax: 209,525,6774 <br /> ,l r•Ir i0 In/11lI <br /> SEPTIC TANK PUMPER DISPOSAL�REPORT <br /> r <br /> FOR THE MONTHIYEAR 0 <br /> '= DISPOSAL ITE (Please Show Address); <br /> BUSINESS NAME MONTHLY TOTALS l,J;a2 Gallons k <br /> ADDRESS I D NUMBER <br /> !. <br /> TANK CAPACITY <br /> i <br />