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03/03/200B 15:26 FAX 2098239095 oaivcs <br /> Ston DEPARTMENT OF ENVONMENTAL RESOURCES <br /> 3800 Comucop14 Way, Sulte C, Modesto, CA 95358-9492 <br /> Phone: 209.525.6700 Fax: 209.525.6774 I. <br /> I <br />! <br /> vy < <br /> Srr.Tena,e er r •gar <br /> i <br /> } <br /> SEPTIC TANK PUMPER DISPOSAL REPORT. <br /> FOR THE MONTHNEAR OF <br /> DISPOSAL S TE (Please Show Address): <br /> BUSINESS NAME MONTHLY TOTALS Gallons <br /> ADDRESS ! D NUMBER� oT <br /> TANK CAPACITY <br /> x � � <br /> Slani <br /> DEPARTMENT OF ENVIRONMENTAL RESOURCES <br /> i;y 3800 Comucopia Way, Suite C, Modesto, CA 95358-9492 <br /> Phone: 209.525.5700 Fax: 209.525.5774 <br /> arr.rua,a..Mr 6rrr ., <br /> SEPTIC TANK PUMPER DISPOSAL REPORT <br /> FOR THE MONTH/YEAR OF I <br /> R' <br /> � I <br /> DISPOSAL SITE (Please Show Address): <br /> BUSINESS NAME MONTHLY TOTALS Gallons <br /> ADDRESS R I D NUMBER <br /> TANK CAPACITY L' ' <br />