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02/21/02 13:05 FAX <br />TANK CLOSURE Co mmAT7ON FORM <br />rl t <br />y <br />Ut e�minaaon of he tank- oenitY ale tank is Msuaay free from prdduoL Sludge. 5[ale l� n. flaky rEsldusl df tank Wmar,W. nnSeate and aeons, ""Wer MrTl <br />slat the information provided nereln is hUe am tl a ate co die oesc M my knawled9e- __ __ _ ^ -� Tnu ne r-RTCYING PS4SCN �'s <br />TITLE sur (eNTt4c7aR <br />VVI <br />CarJfler t6 a mpresenmave of tl1e CLIP%WA; YES LJ NV <br />Name of CUPAAJA <br />If xrtifier is athe, Ilton CUPAA-lA drerlt aPProa^a a 5" tla w; <br />❑ Cerdlled Industrial NYglenat (Ca'q <br />❑ CardRed Safety Professional (CSP) <br />❑ Ganated mwvte Crua>sss (C= <br />❑ Registered EmAmm m" kteam SPeaatlst (REr+51 <br />❑ Pmfee,,mw Ertglnen(pe <br />❑ C:ass II Registered E fpr <br />CSL S ti rtsad corcador (with hazardous s bstatae oertrfiptel <br />atwa x re-dteaed V'm a tymdusz <br />ona <br />This rank pi,,* rt,d dammaele or =Mu=le maeenals. If Yes. ate Iinterior atrnosphare <br />Yea ❑ Na 'NrdraLar tuua' m wok hditg =,i ctm rn ate tams <br />sraaP <br />a <br />fdea4r, dispoe9l faoGly, MG �g���� , �� n/w WMA Floma <br />Cardriefs tank management visauWde (�� Pp,dr <br />A.rd .w r.yi <br />Me <br />gas <br />