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CL-A. & HAZ <br /> PAYDIRT EXCAVATING CO., INC. LIC, NO, 680679 <br /> 269 OREGON ST. <br /> RIPON, CA 95366 <br /> 209-599.2347 <br /> CERTIFICATION OF TRIPLE RISING <br /> TANK ACCEPTANCE FORM <br /> �a <br /> D� oi� . ��� <br /> Tank number � 3 i�—Q 1 <br /> 5 1995 <br /> Tank Size in gallons , <br /> rqViRONnncNTAL HEAnN <br /> PG.,. .%SERVICE$ <br /> Prior Use d)C-5 <br /> Tank Pickup Location <br /> LC_ <br /> Farming bai cls- Ursa 30 <br /> Amount of Dry Ice in lbs / <br /> Date rinsed 5 -/t) <br /> Gallons of rinsed material7� <br /> Transporter f�.lr� CFllulb{�� ac - <br /> I hereby state that this tank has been triple rinsed and <br /> purged . <br /> By Date <br /> '-!?Tank delivered to: Cal Coast Mfg. P 0 Box 1864 , Turlock , CA <br /> .95380 . <br /> Date ��/ Q�� Accepted by <br />