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UST Registration Number
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AST OwnerID
for
Registration #: 198602827
Name: VAN DIEST SUPPLY CO
Address: 1434 220TH ST.
City: Webster City
Zip: 50595
Field Office: 2
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Tank:*
--Choose Tank--
7720
7721
7722
7723
7724
Compartment:*
--Choose Tank--
Type:*
--Type--
Renewal
Permanent
Old Renewal
Old Perm.
Temp Closed
Permanent-Small
Old Permanent-Small
Renewal Year:
*
Numeric value only
Val. Date:
*
MM/DD/YYYY
Issue Date:
*
MM/DD/YYYY
Fee Due:
*
Invalid value
Fee Rec'd:
Invalid value
Total Fee :
Invalid value
Tot Fee Rec'd:
Invalid value
Tag No.:*
Comment:
Temporary:
4.1.525.13227
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