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AREA 42 I UNDERGROUND STORAGE TANK DATE /p -er <br /> DBA k'-AP SQA) s PHONE _ �7.�-.3R9-1 <br /> ADDRESS CIq CITY (`M A <br /> OPERATOR _ 2r�orrYira �,2G5�n�-� �_ cu PHONE R,�23- 1133 <br /> OWNER r.V-cx P S A C, H. �6gPlS .J•-j PHONE <br /> ADDRESS ..3 6-75 L. I,Ucu,- 1�-{C�MI�-CCc� G533 <br /> BILLING ADDRESS .2.3&7-!5- - ;Y- rncvL)'.' N( ,cam �a533 <br /> CONTACT GCS GQ H+ {roller') PHONE q <br /> ADDRESS OCL�- S <br /> APNOT SIZE SHORT TERM APCD PERMIT <br /> WATER PURVEYOR SANITARY DISTRICT <br /> FACILITY TYPE �R�l('k TE2 11uA1_ SEPTIC Qlz 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 # i TANK # Z TANK # TANK <br /> STATE ID STATE ID STATE ID STATE ID <br /> PRODUCT WK'S-Tepil PRODUCT �ASTe OIL PRODUCT PRODUCT <br /> SIZESIZE �� SIZE SIZE <br /> PIPI G' PIPING' PIPING PIPING <br /> M0� TOR MOP}�TTOR * '� MONITOR MONITOR <br /> i <br /> .fr��l tie�i <br /> jc�pi� <br /> > i r <br /> ?x <br /> - <br /> A <br /> 0 <br /> Ups.�• ) <br />