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D--C _31 -02 11 . 01A Pact— 0 Pas- Lanc(Fill <br /> P - 02 <br /> I •`•�� ;t 'nU1if-\ f cltiN)l 1'I�N111 Ill .\t•�J�F:1'/l F.� <br /> I N\'litttNMI.N7Al.. 11I:A1.'I II IrlVlti'11),,N <br /> Itvul.(±I.Htrl'Nll ,tifOI1A1:1- T1lvK Ulcl•tl.�J7rtrN7-ft.ti( hlNt. kL('(rk); (e) <br /> .............. ......., ...... ............ ..,...•..4.................. ......til•_/ 1(U"' ,. •. <br /> i I'uldu lir.11ili • t..; ;nal Ilc:illli t)n,.iun Tanl: t tacl:ht! Shcc•I shall arcol l tan <br /> sitr. rdrnu(tcntuln nun'.IK; ll,c 'I.i:,l ( Yeach t,rnk ,ili,\cdu•iul <br /> T ;rc kw� .tiLccl a to be rclumcd I,`. Pithli: lir•illh Scrvicc.s Fnairunrnental Ittallli I)is i inn <br /> .,Ithi.l 70 r65_"u' :.('Crpix).'c r,I Ll.: ;.�t;l to ;i;r dnl.u5;1 ni itayclinl` !ar Ilii' 1l;: Mrrllll hi,lder r•. tr- <br /> th•is loan 1S f/1Clr"1'!t'd and Iclurrcil ! spon.tihlc lrsr cr;utr:;, chat <br /> FACILITY NAML. <br /> F-4(:IL-1TY AUDkCSS _— <br /> TANK 1D 09- 5��i'ANK SIZE: L P-R-E-VIO-US TANK CONTENTS: <br /> •r.•.r••••...•..••.•. ••���•••.•t►yr••a1t•a♦rr•►.tv•.a••!lfN.1.•t•.rr•tt r r it tsrr to tt►►tr-f N iYt'tar•r..•••r♦ <br /> SE(-Tl( N 2..-.-Te be filled our t?y tank removal contractor. <br /> Tank Rcnius el Contractor. <br /> Address: Cilyllllr�90 Zip <br /> Dale Tank Reruoved; <br /> •••trttN•.•t••••••s.....•..•...••.rsr►tl..•tr•tr.y••1•'•rr•-•r•.pop VW*tr w•t•ra.ttt rr•Nis•r••aalt••t••••.t+.�♦ <br /> SECnON; To he tilled our by eolrtnetor "decontaminating tank". <br /> Tank Lkcon(aininauon Contractor- <br /> Address: �� •l�L� - ly� _City: Lr _ .. <br /> Phone o':,141e/ <br /> A utrgn2rrt rrerrsc��a'i+r of n• tracror r-eri`1•inc till(At, sir a:urr ,eJ: :hath? <br /> tar. h�.b-cn it;an approve <br /> i martncr as required b Cal EPA. <br /> Namc- <br /> 1 ttic: <br /> • — -'--—- tgnaturc: <br /> .....................+.• •... ....... w arsis.....r........t♦.r........... <br /> zn•S dvX by an autl:ori.,d r.prtsrnL-j!ik'c of the rrcelmeri. slc)rahcor 7scili <br /> P y <br /> dis o�a1 c <br /> Fzrtliry Name:._ <br /> Tl:ucc < ('Y'4�8 3.85 '1 -'S�/�fo2 -- -•----- <br /> 1 ,. �Vr.L71C:{aYFya •� /[ � 1 If{t•:- b-il7Y��YJG_� <br /> J�,�1'7�c•rl�rl! SI R.?tl1IT: U,UG <br /> aa.•.•..••r r,.....•.. ..••........•r...r•••.+ ••.••.r.•rt•• srtrrr.♦ aJ N••••r ••.....•....• ` <br /> fll ;tri ri t .,� <br /> 1 <br /> r <br /> J <br />