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OPTION 7 USED -OIL TANK MONITORING <br />e - - <br />Service Station Number <br />Address <br />Dealer or Station Manager <br />Used -oil tank site (Gallons) <br />Period Covered <br />to <br />Beginning of Static Period <br />Used -Oil Level <br />Date Time (inches) (Lt) <br />End of Static Period <br />Used -Oil Level <br />Date Time (inches) (L2) <br />levet <br />Change <br />(LI - 1.2) <br />Exceed (3116" for 1000 <br />Allowance? gal. tank; <br />(Y/N) 5/16" for 550) <br />? <br />a. <br />/'Z , • 5, <br />i, 3 J <br />e l a 'r E , <br />9 ; °' <br />,3 iso <br />! <br />"r <br />-2-3 <br />S /;1..23- j, <br />/ �. <br />PFJ <br />e <br />, <br />sj <br />Al' <br />-It/ -9e <br />y,° <br />e/e ss �.rlS��� <br />l�`� <br />/AV <br />Note: Minimum static period 48 hours, maximum T days. <br />certify, <br />I under penalty of rjury, that the above record is an accurate and complete account of my used -oil tank <br />activity. <br />Signed Date <br />(Dealer or Stali6n anagen <br />