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04/16/2008 10:28 FAX 2098239098 <br /> 00 1/003 <br /> S��I11 Mf,7,r DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> 00rnu�o l& Wa Sulte C, Modesto, CA 95358-9492 <br /> Ec Phone: 209.525.6700 Fax: 209,525.&77'4 <br /> Jp1�� G <br /> APR 6 200$ 'x• 'Aila <br /> Slrr,inv+a er ln8EIVVI 14MEN HEALTH , <br /> PERMIT/SERVICES `� R 'D <br /> E <br /> i <br /> SEPTIC TANK PUMPER DISPOSAL REPORT- <br /> FOR <br /> EPORT FOR THE MONTH/YEAR OF <br /> i <br /> DISPOSA SIS (Please Show Address): ; <br /> PJ04) CA <br /> i= <br /> BUSINESS NAME i +ce r MONTHLY TOTALS Gallons <br /> ADDRESS '22- <br /> I D NUMBER FID } <br /> 'I -c TANK CAPACITYaQ20 _ <br /> Stoll! r <br /> DEPARTMENT OF ENVIRONMENTAL. RESOURCES <br /> 3800 Cornucopia Way, Suite C, Modesto, CA 95358-9492 <br /> Phone: 209.525.6700 Fax: 209.525"6774 <br /> i my <br />' tlr.uee ru vv IMF fill <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> FOR THE MONTHIYEAR OF D <br /> DISPOSAL SITE (Please Show Address): <br /> I <br /> S <br /> —sm WE <br /> Sixes <br /> BUSINESS NAME W MONTHLY TOTALS 6r) Gallons <br /> ADDRESS - - I D NUMBER /Q�p _ I G <br /> TANK CAPACITYggq0j f <br /> 1 � <br />