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Official Registration Form .
<br /> cam r water Reaouroea Control MwN
<br /> Hazardous Substance Storage Statement
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<br /> I Iaro,nnrar,rr must arra Io,Iwm no US arr o JWy 1 on frow O[ICaa eaa:Fd eaCn Grow rr,"o l.t.S19 lee mun se an o
<br /> Ipan ano mU tiler,man laruvy 119es In Nrwe urza on l III . gaadrre hymns pry 55 no rani .c.nl noel.arae
<br /> On roq UrrI',r Ii ra Caar or., Toe law eW,'r, Ip corWatr yllyyyyS�Fw la'urr rp lne.I,,,Groan SI
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<br /> 'a M^e ludny eanlmn xdlrM Alli Wnaa 'IIImmalr s you cer+pC Inn rror to$24 WO lar ear.aay GopYnlgmari..n 5
<br /> aanun>untloo'Ita anal are Ceou d nru'r or ground surlacn MrN man 'nCwrecl Eno aaa our[leen corrlo—
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<br /> P lana Srlunp nn InP od U ra r. r rt p r ponlarn N Vulrally CaeaMn.11.1 II rou nava mlmmanon polor a.ev^anq sects I
<br /> II un:surae•are rnc!rv4e U.n urvmea pls W W s aM bgnena Vlease dlla[n a as:ul Ire rMorrnalmr on laic Iam Inar m ccnnaemal rou V+
<br /> VCrup rl r'drm oras Leen r—come Iron lag s rats,arta lu eana,.oc, NSlrlr[alroo! r caro nnnuaa" nek.'lcaalron5 or rpinvanl S'.al r
<br /> Jrly Normal 11ron,IS not corarwed Cone ucle,Oebw gtcona wY was cdu law
<br /> Mwlpla C.W.e Frn t dna 11 an raw.Iwm ano leave o wm an as mr
<br /> O1nrYYM N W ow"for EYa1MK1:Prry suasldnee IRIpO,n$eClron 6:1BT rrYnarMl'g loins Ppa[n aY lams!rpoaH 9Ni6oY II Yuv porn mor,'In;rn
<br /> nr Ea"'Cooe w m I I for,15]16 d IM"I aro Sorely Cede IDrs Sq la^ys"a can rue ne•nroalron u�comnmer Ia,Call 916'914 r.,. r..
<br /> s yasoline nou'r'or, allrnournal osIowus furnec Ees rarbrcraes moo.
<br /> nuul.rmrr{anis ll er.y muss ore Callao S,a rWansreo ra•dv aTRIG N.Ola Hour APpleaew.Pa V1ew.,,ouno Troo,wrn aw s.!rr
<br /> serf m al a naiaruoasawave srle.or .F'psr a genwalesm
<br /> Vssore ouu to ninrn p
<br /> •,9,11 $ono io,onare aces,ce9ur procrar pr -
<br /> • .n r r 14 r mppsmon or woaln harm au^,ns or w'INan Yau mrzl rv,oIo, w^Your lucnr!,muMv yuverumern rnr'unaw mlormeuor.
<br /> NOTE:ALL UNOER ROU D CONTA NIUM MUST RE60TER EVEN W STATE After LOCAL PERMITS ARE IN FORCE,
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<br /> 111 2E Navy INMUr%pUq Canted Pe
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<br /> Mervin Fetzer (209) 887-3815 Nervin Fetzer (209) 931-2612
<br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER
<br /> IV Oaseftdon
<br /> A (far Taft ❑w Sump ❑m Lacon Pe or Pond ❑to after
<br /> a Manufaclmer pl appropinlelvWe XTQ 5 Year of Mlg 1980 C Year Inslaaea —1900 ❑Unknown
<br /> D contwnen Dapacay 5 QA.,I..S ❑Unknown E conferrer Repans.Nor Norte ❑m Unknown Gm Yes Year
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<br /> F Is Conm nel currently Grow Ran Yes ❑ No It No,Yee'a lag use-. —_ ❑,a Unknown
<br /> G Does the Coralner Som(CReLk One) ❑a,Waste Mm Product
<br /> H. Does IRe ConUI Store Motor usual Fuel or Waste 011p am Yes 0o No It Yes.CRack eGpepbale Water,
<br /> ❑er Ug .a ❑N RegWar Oa Persian Mw Owsel 0o Wage Or ❑.Oder(L,M)
<br /> V ewim cw tN #o
<br /> A Tnrckness or Primary Comainrlwm.5116—❑Gauge arenas Dena ❑Uak.
<br /> 6 ❑ Vaulted(Located an an urlderyoulq VI I Elm Non osolled ❑oro Unknown
<br /> O.❑or DouOle WMW Lm STI Walled Ga Lined ❑w Wrapped 0I Unknown 0a No"
<br /> D Mr carter Steel ❑.S orxess Sag On Faerglass ❑.POlyvmyl Calpete Q Concrete ❑m Aluminum
<br /> 01 Sten Clad ❑n Sarue 0r Composnn Orr Non-1Mlakc ❑ r Eadnen Walls
<br /> ❑r:Unknown ❑r,011ier
<br /> E ❑,r Rubber Lined Dm All Lrdng ❑ .Epoyy Urging ❑d PRenoYc Larking 0 Glass Loon, ❑-+CIG,Lmlog
<br /> Ik"UnLnea ❑w Ucknaem ❑.Olney
<br /> F ❑ar PoNenons Wrap ❑.VII Wapping ❑.Garrod.PGM 1. Dw UKnown ❑,n None It.Olden _TAR
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