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ADEQ use only UST-LUST 1110 West Washington Street Phoenix Arizona 85007 USTCAS azdeq. gov DOCUMENT SUBMITTAL FORM Do not submit reports in a three ring binder. Gov Also please submit a hard copy to ADEQ Attention UST-LUST Section Phoenix AZ 85007 1 Report date ADEQ Facility ID 0-0 LUST No. if applicable 2 Type of report R18-12-251 F 3 Nature of the suspected or confirmed release a Source1 check all that apply Tank Unknown portion Tank Ullage portion Tank Sometimes wetted portion portion...
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