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OPTION 7 USED -OIL TANK MONITORING <br />Service Station Number <br />Address <br />Dealer or Station Manager Used -oil tank size (Gallons) <br />Period Covered <br />to . <br />Beginning of Static Period <br />Used -Oil Level <br />Date Time (inches) (l1) <br />End of Static Period <br />Used -Oil Level <br />Date Time (inches) (L2) <br />Level <br />Change <br />(LI - L2) <br />Exceed <br />Allowance? <br />(Y/N) <br />(3116' for 1000 <br />gal. tank; <br />5/16' for 550) <br />j2 <br />YY <br />1-4 <br />d �X, <br />s g 1 <br />g .� �v <br />q J/Y <br />� <br />�- x_50 <br />,!: u, <br />9 3%+ �• r s' <br />a•3v <br />/o <br />�r <br />� <br />a-aJ -90 <br />y:o o <br />/x <br />3 / I# <br />y.' S <br />/ f 3 - / C • j..: <br />' : `i,' <br />/ .� <br />` <br />to <br />.3-20 '10 <br />Note: Minimum static period 48 hours. maximum 7 days. <br />I certify, under penaltyof erjury. that the above record is an accurate and complete account of my used -oil tank <br />activity. <br />Signed Date <br />(Dealer or StalionManager)'- <br />