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9002/003 <br /> y DEPARTMENT OF ENMONMENTAL RESOURCES <br /> 3800 Comucopla Way, Suite C, Modesto, CA 95358-9492 <br /> Phone: 209-525,6700 Fax: 209.525.6774 <br /> f i <br /> my <br /> SI>lrinq a er In.Sul ; <br /> ENTE`REli <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> FOR THE MONTH/YEAR 0FnftLr <br /> DISPOSAL SITE (Please Show Address): <br /> f � � <br /> f Omg, <br /> ; <br /> BUSINESS NAME MONTHLY TOTALS -- Gallons <br /> I <br /> ADDRESS I D NUMBER J <br /> TANK CAPACITY_ <br /> � l <br />} <br /> f. Ston! <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> ;1 ,Y 3800 Cornucopia Way, Suite C, Modesto, CA 95356-9492 <br /> Phone: 209.525.6700 Fax: 209.525.5774 <br />� Srir Hca is •ldr q , <br /> S <br /> . C <br /> l <br /> SEPTIC TANK PUMPER DISPOSALS PORT <br /> FOR THE MONTH/YEAR O <br /> i <br /> DISPOSAL SITE (Please Show Address): <br /> r-Ar, ae ti-mmA <br /> BUSINESS NAME MONTHLY TOTALS MiX Gallons <br /> ADDRESS I D NUMSER tD <br /> TANK CAPACITY <br /> � 1 <br /> I <br />