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03130/2008 07:41 FAX 2088239085 001/003 <br /> 9tyENT OF ENVIRONMENTAL <br /> a X536 492O�rB: 209.525.8700 �x:r,{(v�f- <br /> i <br /> SEPTIC TANK PUMPr:R DISPOSAL REPORT <br /> FOR THE MONTHNEAR OF ILZ4� <br /> DI� POSAE 5fTE (Please Show Address): } <br /> ` �� . �.p -- i ii IY- - II••IlwiWwYr�iq�Ygi,Yl+�.a+ir+• <br /> f <br /> BUSINESS NAME GJ IwMIUL _ MONTHLY TOTALS Gallons <br /> f ADDRESS S _92 1 D NUMBEI;t <br /> &4� 09 TANK CAPACITY <br /> R00f <br />' 111 DEPARTMENT OF ENVIRONMENTAL RESOURCE'S <br /> 3800 Comucopia Way, Suite C, Modesto, CA 95358-9492 <br /> Phone: 209.525.6700 Fax: 209.525.6774 <br /> 1 ry 1 <br /> srr.+1•v m e,rdIr <br /> f 1 ! <br /> IP <br /> SEPTIC T N14 PUMPER DISPOS L REPORT <br /> FOR THE MONTHIYEAR OF <br /> DISPOSA SITE (Please Show Address): <br /> chi �L1.C�Y . <br /> ' I <br />{ BUSINESS NAME MONTHLY TOTALS Gallons <br />{ ADDRESS I D NUMBER JO <br /> TANK CAPACITY 2&XD <br /> f <br /> I <br />