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OPTION 7 USED -OIL TANK MONITORING <br />Service Station Number Address <br />Dealer or St4.tion Manager Used -oil tank size (Gallons) Period Covered <br />to <br />Beginning of Static Period <br />End of Static Period y' <br />Level <br />Change <br />(Lt - L2) <br />Exceed (3116' for 1000 <br />Allowance? gal. tank; <br />(Y/N) 5/16' for 550) <br />Date <br />Time <br />Used -Oil Level <br />(inches) (L <br />Date <br />Time <br />Used -Oil Level <br />(inches) (L2) <br />I <br />A1 <br />0".,i <br />AV <br />S. y <br />4/30Oq <br />4 <br />VY <br />OD <br />j,es. <br />C� a3 9� <br />..Nig <br />�% <br />.G �� �� <br />�'.�� <br />3 " <br />/ %y <br />IV <br />Note: Minimum static period 48 hours, maximum 7 days. <br />1 certify, underIty of erjury, that the above record is an accurate and complete account of my used -oil tank <br />activity. - <br />Signed,,Date <br />-- <br />(Dealer er or Stali6rtManager) <br />