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04/0' 2008 14:46 FAX 2098239095 001/002 <br /> AF <br /> Stam uR cis <br /> 95358- 4'92 ' <br /> OD <br /> App - 7 20089 +4' <br /> my <br /> ��1vl�,c�l��I~r�»r HEALTHsr,rrmQ rc oe rAe..r 4 , <br /> �+ i <br /> a <br /> SEPTIC TANK PUMPER DISPOSAL REPORT '- <br /> FOR THE MONTHIYEAR OF AeAlnfe <br /> DISPOSAL SITE (Please Show Address): <br /> ' t <br /> BUSINESS NAME MONTHLY TOTALGallons <br /> ADDRESS I D NUMBS <br /> TANK CAPACITY_ <br /> 5 <br /> Pa9# 1 <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCES , <br /> 3800 Cornucopia Way, Suits C, Modesto, CA 95356-9492 <br /> Phone: 209.525.6700 Fax: 209.525,67'74 <br /> ay <br /> lln lnr ro. rn.�.+r <br /> SEPTIC TANK PUMPER DISPOSAL.REPORT <br /> FDR THE MONTHIYEAR OF / i <br /> DISPOSAL SITE (Please Show Address); <br /> BUSINESS NAME Q-tSjr+-c— MONTHLY TOTALS Gallons <br /> ADDRESS _— _ I D NUMBI=R '` <br /> TANK CAPACITY. I,; <br />