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AREA Z I <br /> �NDERGROUND STORAGE TANK \ DATE <br /> DBA ATL ,v r2o5• PHONE <br /> ADDRESS 9.909 F . Wpm,g-ZZ CITY Y hUT-66A �� 3 <br /> OPERATO � 5�f .Cts A C, H 'P2LY it PHONE <br /> OWNER ShYtit PHONE <br /> ADD RE Z3Ip�5 S. /A e Pgfz-r W R-� � VkMJrbuf Cr L-, <br /> BILLING ADDRESS <br /> CONTACT PHONE 36 <br /> ADDRESS �+ ! <br /> APN Zq -45 - LOT SIZE SH RT TERM APCD PERMIT <br /> WATER PURVEYOR SANITARY DISTRICT <br /> FACILITY TYPE 4 I,e�ca� )pr'�SETIC 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 # CI TANK # TANK # TANK # <br /> STATE ID STATE ID STATE ID STATE ID <br /> PRODUCT PRODUCT PRODUCT PRODUCT j <br /> SIZE SIZE SIZE SIZE <br /> PIPING (=QM 1-Y PIPING PIPING PIPING <br /> MONITOR MONITOR MONITOR MONITOR <br /> I <br /> I <br /> UST 24 6/86 <br />