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0513012008 07:41 FAX 2038238085Im 002/003 <br /> Aanl ' DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> 3800 Cornucopia Way, Suits C, Modesto, CA 95358-9492 ; <br /> Phone: 209.525.6700 Fax. 209.525.8774 <br />{ <br /> Sar+,nD ra pp rhe Bpd j <br /> w <br /> f <br /> It ; <br /> „TANK PUMPER DISPOSAL REPORT <br /> _ <br /> SEPTIC � , <br /> FOR THE MONTHNEAR OF Al OSS } <br /> f <br /> DISPOSAL SITE JPlease Show Address): s <br /> f 4 <br /> F <br /> r <br /> BUSINESS NAME rN - Yhc MONTHLY TOTALS Gallons <br /> ADDRESS 1 D NUMBER._11MA0 <br /> S r <br /> TANK CAPACITY <br /> Sian! t <br /> DEPARTMENT 4F ENVIRONMENTAL RESOURCES � <br /> 3800 Cornucopia Way, Suits C, Modesto, CA 95358-9492 G <br /> Phone., 209.525.6700 Fax: 209.525.6774 <br /> S;p Ina fa of rap#off . <br />> s s 2 <br /> SEPTIC TANK PUMPER DISPOSAL REPORT } <br /> FOR THE MONTHIYEAR OF- A^41M <br />` � f <br /> DISPOSAL SITE (Please Show Address): <br /> o � <br /> BUSINESS NAME MONTHLY TOTALS =0 Gallons r <br /> ADDRESS I D NUMBER <br /> TANK CAPACITY a <br />