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04/16/2008 10:29 FAX 2098239095 1j003/003 I <br /> Stan DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> ,.pwi <br /> 14F <br /> 3800 Cornucopla'Way, Suite C, Modesto, CA 95358-9492 <br /> i Phone: 209.525.6700 Fax: 209.525.6774 <br /> } e <br /> yz <br /> Slayrn0 <br /> IF or Int 8ttf <br /> t <br /> t I I`r <br /> ` I <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> i FOR THE MONTHNEAR OF 6g6# <br /> I <br /> DISPOS L SITE (Please Show Address), <br /> j BUSINESS NAME 10'^'�"�"�_. MONTHLY TOTALS 1%9 Gallons <br /> ADDRESS 10 NUMBER V <br /> TANK CAPACITYX7 <br /> Stan, ; <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> 3800 Cornucopia Way, Suite C, Modesto, CA 95358-9492 i <br /> Phone: 209.525.6700 Fax: 209.525,5774 <br /> Stang, ; <br /> ilnu.c re •rAt 9•n <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> FOR THE MONTHIYEAR OF <br /> DISPOSAL SITE (Please Show Address), i <br /> BUSINESS NAME MONTHLYTOTAI S Gallons <br /> ADDRESS I D NUMBER } <br /> TANK CAPACITY �'. <br />