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AdIlL <br />OPTION 7 USED -OIL TANK MONITORING <br />Service Station Number Address <br />Dealer or Station Manager Used -oil tank size (Gallons) Period Covered <br />negmneng of static Period <br />End of Static Period <br />Used -Oil level <br />Used -Oil Level <br />Level <br />Change <br />Exceed <br />Allowance? <br />(3/16" for 1000 <br />gal. tank.• <br />Date <br />Time <br />(inches) (Lt) <br />Date <br />Time <br />(inches) (L2) <br />(L1 • 1.2) <br />(YIN) <br />5/16` for SSO) <br />la -«.Qct <br />�/: 2a <br />®,z%, <br />1.2•1/-19 <br />9.'/6-` <br />13 " <br />�� . / 7- r S <br />!' : a o <br />j jC� <br />�y <br />loy <br />Y <br />SIVI <br />C�"-4 ^ <br />Note: Minimum static period 48 hours, maximum 7 days. <br />r <br />I certify, under penalty of perjury, that the above record is an accurate and complete account of my used -oil tank <br />activity. <br />Signed Date ' <br />De.a ar or txr.nn ,.,7...7 <br />