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y <br /> DEPARTME NMENT S <br /> i;6y <br /> odesto, CA 95358-9492774` a <br /> Pf'Y'A9 10 a. III Hall <br /> i <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> FOR THE MONTH/YEAR 0<5=/41 <br /> DISPOSA SITE (Please Show Address): <br /> 016 <br /> t - <br /> BUSINESS NAME_,E.a u- MONTHLY TOTAL,i. Gallons <br /> ADDRESS __- .,9T I D NUM3ER <br /> �,�► C� .,,._....� TANK CAPACITY f' <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> 3800 Comucopia Way, Suite C, Modesto, CA 95358-9492 <br /> Phone: 209.525.6700 Fax: 209.525.6774 <br /> my <br /> SEPTIC TANK PUMPER DISPOSAL,REPORT <br /> FOR THE MONTH/YEAR OFC /rllr <br /> DISPOSAL SITE (Please Show Address): <br /> BUSINESS NAME MONTHLY TOTALS Gallons �; <br /> ADDRESS I D NUMBS <br /> TANK CAPACITY <br />