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7-14-1999 4:20PM FRom, P 1 <br /> V <br /> TANK CLCSURE CER-17I ICATICH FORM <br /> r <br /> eusrN r _ Pr , <br /> �Amoss 0 3� q,G <br /> acrsrMe55 ra-� � �4e{c +7 ,, <br /> ✓' ' dui! r�C� - II <br /> TANat'1CVWC t NAME . <br /> -7��c '°° <br /> r,r,rs z,.�„�„� <br /> Sol <br /> +� l�. oxvSGB�Y <br /> - I :.Ir.rc CnvN6t carr '. <br /> SATG SQt a7 Sa,i <br /> 7 <br /> 1 <br /> TanK r <br /> otel Flanrmaoie Vapor age <br /> Tank IrstertOr l <br /> f51a[s TarrN IGt,i!aRAriGB <br /> Tav Canrer 9ctlam Top CenterAlfrwoollere <br /> 8eaom <br /> � � <br /> Reacings <br /> ! � I <br /> Qrl ahe wdo a a!:Rt;tank,I c�rti n the tank ix acCUr l to lane 31 Of Cy%nowle sole ffJ-in-Harry r=idtui of tank cnnlents).rinspate 2nd dowis. t kerher certify <br /> shat are IRfor:Tsauan prpr�d��7ecein is slue-and acWnte t6 the Oest of my knowrtdQe. I 1111 <br /> C£RTIFiER$tGNATURE a—.Us CA AFFlt.1AT1CN OF COMFYING PSR5CN tat <br /> CER1Ft NAME(PRfNT) Sae o S n Ctnirier is a e <br /> CE.lqTtFifcR Ti = SCT �Creserttat{ue of 11e C.)?M L1: YES Cl❑ NO L� <br /> - Name of CUPAa.)A <br /> ADDRESS <br /> GTY Cl -31 G & rf CeMfl r:s other MM CUPAILSA Ctec�t apompdZe box Doles: <br /> PHONE ❑ Cerceea Ittdtatr W MKIenisr(Clh) <br /> DATE CERTIFI� saa CZRnFiCA-nC v TIME G CarOwd Safety Vrefessiurtal(CSP) <br /> ❑ C.,Mled Marfne Ct.W.(C.Mq <br /> �`, `��j f �] 1 i p M ❑ Regutared Enwar wirul Health SPecallst PRE1 S) <br /> v�v I f f Cl Faf=wnai Engineer(PE) <br /> ❑ Cass a Regialered Environweoaal Assessor <br /> CSL9 limns"CornmclCr(with Ma=wlouz sutmMnIM CtlrW=te) <br /> yes ❑Ve Ti'ei5 tank previously held fl7mmaale tN Gt7n ldAbee matenals. if Yes,me falx interior aMiaMnem sftM tit:m-Ctedced wdN a e ntousuble gas <br /> indiotor prier to work bang Car4ucmd on the Mnk. <br /> C4rtll4er3 7nit management sCap d&,W.aiaposal faoaty,ate <br /> ^ I <br /> A mpy of M caniftwe Shan accompany ate tanx to ma mcjC:0q disuCsal fadbty, ! <br />