|
VI PIpnE
<br /> A Afsurpled Prpng ❑, Above Ground at",Uwally.und 0 Vaulted
<br /> 8 Undagmwld Prpng ID GI.Ay ❑a Pressure Ao,sucidd 0 Unknown
<br /> c Prpng ReWrS A nr None ❑m Unknown (3 m Yea.Yea,a most dl raper -
<br /> VII Lm*DSYeeen
<br /> ❑Il Vdl aux Stack Inve,nay ❑m Tae Onrn O w Vapor SMI Wells ❑A$a.I,letru rfl
<br /> 0 Grouts Wale,Mealor,N WeNs ❑r,r Res..Tea, ❑d Inernal Inapecuon ❑.Nate
<br /> ❑ru O,ba
<br /> VIII CMn CongwlSon of ME1511515 Cun n a ha/oIMI/Bloleo b,Un"Wound Coar"nan
<br /> n ou cnaaec Ycs 10 IV-r you we ax,epu.ed to rore ,e Ill secaon _
<br /> wr a.•a+w a.ram•.d rrK r.�.,..,...,.• ru....4. nr....,n....r
<br /> ❑,r ❑.a
<br /> ❑, Ow
<br /> ❑. ❑re
<br /> ❑.r ❑x
<br /> 0 ❑„
<br /> ❑,. ❑a,
<br /> ❑, ❑s
<br /> ❑, ❑a
<br /> al
<br /> ❑: ❑r
<br /> ❑a ❑,
<br /> ❑ , ❑re
<br /> Is Comarrla loca,¢d on an Aq,rcWlural Farm° ❑^�Yes Zlw No
<br /> IX IMPORTANT!Read inslwc,ans dal sgnmg
<br /> NyMaa:T.,dm,mnl Ge .red all).w.ncrwl a,..,..dta ar d me,r+d d rr[e-p,ecM,a a by an au,Mn[M,aweaa,ea,rve T•e,eweae^rauve
<br /> s be,eapenarde lu, ovwall ppe,alrm o lne w lny wMe fte*.)tea.d }:a weal pa,lna•pocel.a Jl a wearrpal e.ecunve da"
<br /> •An4rng eMCIM dlipir a aulnarRE reaves e d a pYdK aP,KY
<br /> Tnrs rrnm nes Been campNeO wUa, W,w'r eM 10 I-Ital of my kdo M .uue aM carat
<br /> o+
<br /> Aug. 24, 1984
<br /> �.a Ma ffi F. r d V.P, op". (209)887-3815
<br /> w d,aea 1a Rate•Mla Suoaaxe 5loraa Saremen,9ele Wen Reaowcea CMlyd Boars.Po Ba 100.$ ame,eo U15501 0100
<br /> - Mervin Fetzer (209) 887-3815
<br /> Pv 5ala5aW Ivan a nae SMerIn55m e5n n5yu5-/m '
<br /> FOR STATE USE ONLY
<br /> N IInW
<br />
|