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CL.A. & HAZ <br /> PAYDIRT EXCAVATING CO., INC. LIC, N0. 680676 <br /> 269 OREGON ST. <br /> RIPON,CA 95366 <br /> 201599.2347 <br /> CERTIFICATION OF TRIPLE RISING <br /> TANK ACCEPTANCE FORM <br /> Tank number 431ec— OA <br /> Tank Size in gallons �� <br /> Prior Use gQ�1m� <br /> Tank Pickup Location mtnQ I1�� Aix . <br /> r rMLn0?2 C� 45,230 <br /> / <br /> Amount of Dry Ice in lbs c-?/[) <br /> Date rinsed 5-I`n-� <br /> Gallons of rinsed material <br /> Transporter PWA excaxtlnq Dic <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 O Box 1864 , Turlock , CA <br /> 95380 . (} <br /> Date J �o� ( / Accepted by <br />