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Sirrvice Station Number'T <br />,tater/Station Manager <br />1 <br />1 �C n r-?',, ` <br />Address <br />Q Used -oil tank size (Gallon) ) VCD Period Covered <br />�. <br />' I - I S -c) I <br />I <br />h <br />To <br />Beginning of Static Period <br />Date Time Used -oil Level <br />(Inches) (L) <br />Date <br />End of Static Period <br />Level Change <br />Time Used -oil level (L - L) <br />(inches) (L) <br />Exceed <br />Allowance? <br />(Y/N) <br />(3116' for 1,000 <br />gallon tank; <br />5/16* for <br />S50 gallon tank) <br />��-►•qJ <br />I®���+ <br />1`11'? <br />Z <br />►� `/� - <br />^.� <br />11:10 <br />`3 <br />16) <br />YIJ <br />12 <br />p <br />,30 <br />50,00 <br />12- 2z <br />9'-0 <br />F <br />1 zb <br />3o <br />.�..- <br />I22.Di <br />IZIi <br />q'etL. <br />a ,j <br />1'ro.3g <br />-2— <br />-13 <br />83a <br />IZ. <br />1-- )Li <br />900 <br />' -7— <br />)ID P10 <br />t z Fez <br />!- J"? <br />) ) '®a <br />Z-`rZ �. <br />2LA <br />13 <br />14 <br />1-2.9 <br />6MS` <br />1M %y <br />1-3p <br />V- <br />114 <br />Is 3V <br />15 -ti <br />2-10 <br />13 fl' <br />1 3/ <br />2-1�► <br />I Z:oz) <br />rte. s <br />= IF <br />IS <br />6 <br />Z4 <br />63V <br />"1 <br />-Zb <br />Io 3v <br />-1 "4 -- <br />- <br />® <br />-11 <br />'? <br />q <br />1a <br />�1 <br />-t <br />►1 <br />3 -Zi- <br />*per <br />Note: Minimum static period 48 hours, maximum 7 days <br />I certify, under penalty of perjury, that the above record is an accurate and complete account of my used -oil tank activity. <br />Signed Date <br />Dealer/Station Manager <br />