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FROM PRYDIRT EXCAVATING CO. INC. PHONE NO. : 2095992347 Oct. 03 1997 02:55PM P02 <br /> J/ OCT 0 6 1997 <br /> UNDERGROUND STORAUS TANK DISPOSITION TT NVIM%W?WLTH <br /> ..................................•.....•••............................ . ' Y11:elR ::::....:............• <br /> SRCIYON 1 •PubUe Health Services Tracking Shoot will aownipany each tank amea with iia site Wepilf(milon numbar. <br /> Ile TntdAS Sheet k to be returned to Publlo Hcalib SOrActa RjjW4.&Atgj of sooeptanoe of the ank by the d4powl e <br /> rooyetlay kWIY- The Permit bolder is rapoiulble for eautirlm` that ft torn Is eotnpletod and returned. <br /> rAcnarir HAf � `I _. uUf� roti CJnd l/onh. /fi���iry T,��yi.� <br /> FACILM ADDRIM: '1` � Nay 3abcY i Cfl GYr?--- <br /> TANK ID 010-Z2-9.S— 0'T Tack Doswiptlont,_,,,,,,_, �Z(l0 /�, <br /> ...•.......•.................................*Do..see give►..••►.►.►....•................................., <br /> SRCI'ION I.7b be Nled out by ttmoyal Contra"& <br /> 'Pack Removal Cbausmot X dUCt�rll (fA JJ1G <br /> Aaa,.wt.- �L _ aht,�� zipt_4� <br /> Pbame#s( y ' y Date Unk Romaym <br /> aJKMON 2.7b be plod out by onstra"Jer purpilnabs to •s <br /> Thin Daooatumlomuott Gbaltaoion h�/rill t fA/1r77 - <br /> Addtaaat- y Grr, l <br /> pbM Mi( n70Q 1 '`�Q' 4 2 <br /> AulbwkAd npraa"""of Contractor Cern( AS through•igsuture hallow that the unk has noon decontaminated to An, <br /> 40PM ad trabtl0ar M nq"by Cel APA, <br /> Title: C ,� Q <br /> ..........••1.►•.••.►••.••.•.••••.••... <br /> 8JOC7IpAI 4-To Ito alpod asd dated by an authortaod'cru•ntativa of tho treatment,storage, or disposal gquty <br /> oaoepUq Mak aaWor plpla& <br /> ptyt"TUl'I(;�1( Tip: <br /> Acle 7kek <br /> 8ttq►mtwe r <br /> Title: <br /> •t•aa♦ ♦a ►.•►►.••••.1#90601 ►.NN►.sH•..••.••••..•••••••.11►•►•....••....M NMNNNNN•NNN.1 <br /> as Y Olt fnw l"o r-10.00 rape 10 <br /> ------—-- - ------- - - - -- -- - - - --- - <br />