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•OPTION <br />7 USED -OIL TANK MONITORING <br />Service Station Number <br />Address <br />Dealer or Station Manager <br />Used -oil tank site (Gallons) <br />Period Covered <br />to <br />, <br />Beginning of Static Period End of Static Period <br />Used -Oil Level Used -Oil Level <br />Date Time' (inches) (L,) Date Time (inches) (1.2) <br />Level <br />Change <br />(LI - 1.2) <br />Exceed <br />Allowance? <br />(Y/N) <br />(3/16' for 1000 <br />gal. tank; <br />5/16' for 550) <br />r" <br />7XYI <br />7 f <br />973a <br />Xy <br />,,?�, <br />�a,®/L <br />p. s•ya <br />ala <br />i� �� <br />�-��s� <br />9.3J <br />�� '� <br />/ !Y <br />� <br />oo f A <br />Q <br />�p <br />10 <br />® <br />s <br />fo. r 7. SJ <br />4, 30 <br />9 '�1, <br />/b i9 `/ <br />17 <br />Note: Minimum static period 48 hours, maximum 7 days. <br />1 certify, under of per) ry, that the above record is an accurate and complete account of my used -oil <br />activity. <br />Signed Date_ <br />Dealer or ta'kon anagen <br />tank <br />.r, <br />