Laserfiche WebLink
AREA <br /> UNDERGROUND STORAGE TANK DATE r� <br /> DBA Sr&G69nts !!&A k PHONE <br /> ADDRESS Fs1// ?��s �f� l � aos- CITY <br /> OPERATOR PHONE /7Z_ <br /> OWNER 9 <br /> / PHONE �� <br /> ADDRESS • &,51M925 I-M <br /> BILLING ADDRESS _P-A t Dw //D7 T_ t <br /> CONTACT ��.. PHONE <br /> ADDRESS <br /> APN LOT SIZE SHORT TERM APCD PERMIT <br /> WATER PURVEYOR SANITARY DISTRICT <br /> FACILITY TYPE Co/lfk[�/ /� SEPTIC - WELL ^---- <br /> TYPE 1 2 3 4 5 TYPE 1 -2 3 4 5 TYPE 1 2 3 4 5 TYPE 1 2 3 4 5 <br /> TANK # <br /> TANK # TANK # TANK # <br /> STATE I D - Y7 z�P/CV/ STATE I D STATE ID STATE ID <br /> PRODUCT (,[�l/L1¢�Irc� PRODUCT PRODUCT �`� PRODUCT ` <br /> SIZE /ADD �6,40�5 SIZE SIZE SIZE _ r. <br /> PIPING . ofaCrD�t! PIPING PIPING PIPING <br /> MONITOR 97 MONITOR MONITOR MONITO <br /> or YD 5c <br /> ogjr <br /> orF(M <br /> UST 24 6/86 <br />