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07/18/2008 11 :37 FAX 2098239095 R002/002 <br /> Ally <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> 3800 Cornucopia Way, Suite C, Modesto, CA 953589492 <br /> Phone; 209.525,6700 Fax: 209.525.6774 <br /> Sfrnlo is e. fhr 80 r1 <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> FOR THE MONTH/YEAR OP p <br /> i <br /> DISP SAL SITE (Please Show Address): <br /> BUSINESS NAME1 i^Jtx-w k MONTHLY TOTALS 46co Gallons <br /> ADDRESS_ I D NUMBER &QeW4> z <br /> TANK CAPACITY, 03&> <br /> F <br /> S � I <br /> SPdl1l <br /> DEPARTMENT OFENVIRONMENTAL RESOURCES <br /> 3800 Comucopia Way, Suite C, Modesto, CA 95358-9492 <br /> Phone: 209.525,6700 Fax: 209.525.6774 <br /> my 1 <br /> !17•+111 ie Al ler 6011 } <br /> 3 <br /> - 1 <br /> i <br /> SEPTIC TANK PUMPER DISPOSAL,REP-ORT <br /> FOR THE MONTHNEAR OF �► <br /> i 1 <br /> f: • <br /> DISPOSAL SITE (Please Show Address): <br /> 1 <br />! BUSINESS NAME L-J-0%lu- _ _ MONTHLY TOTALS Gallons <br /> 1 ADDRESS I D NUMBER W6 <br /> I TANK CAPACITY tnp <br />� i• <br /> 3 • <br /> i. <br /> i' <br />