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-.............. WEST COAST EQUIP SALES 1 209 668 9362 P. 01 <br /> ____________ <br /> ----------------- ------- <br /> WRIGHT <br /> �. 'q� •> 12?9i;3'<6152 WRIGHT ENVIR04,1ENTGl ••- .. .. <br /> F'AIaE I i . <br /> SAX JOAQUIN COUM iMIAC RMTX=VICES <br /> UYDERGRO@,10 STORAGZ TAM IU3PO. nCN'271ay.C>@tG RECORD <br /> •w4..ww1f...M...wMfwwMl�Vla►rf1w.�..awrMNwAww.rw,l.�r.» .�w�wwMYMw�r. <br /> T .+�M».wMr....rr.....y...fa <br /> SECTION I - Nwicild" Heelth Ser.T Fa�ltvaatmml Hearth DiY(ajta Tack Teacldal Shwa Ahad aowmpamy .6 bwk dd,.od <br /> x1111 Ire ileo Idewitkadoyozuaber. The Teak T=kint;Sheet k b be munumd an PUblk NmIN StxvleaN EnNimrtmeore!H.■tt6 <br /> Dtvisioa nl,�Aln 3Q dor+of accaPtsoeo of the tank by the 6WOW or <br /> IwUr.Ag that this form u owapttad Aad nasened ettaK �' The pgmit hold 4 Iapomibk for <br /> FACII.ITYNAME:1�j.\ lz_yni�[r1 �n �t fdtl4 41r.cncr. Toe 1 L <br /> FACILITY ADO"M:_ tj S .1a, t 5.� Asa Y> -p L ncYsx%. Q rim t� <br /> TANK IA n9 •�`t°llg_ 1 TAMC saE: /{yf, p�v1OUS TANK CONTENT'S: �.. �� <br /> M.»a.wwf...p f.V'.NYw.'1f..1M.aNMwM.aM4M..rw.►1.Iw...wwr..Mf w..rwa.ww�.....r.w....a...r..rw..v.-...�. <br /> SECTIOry 2 - To be IDW out by teak ruaoral coatraaw <br /> Tmk Removal Coacacmr: <br /> Addreu:�a,G C caw. �a _ t City:—zip; SA t C. <br /> ttoaa s: r;1,1�_� i� - PL't--t!L_ Date Trak Removed: .4-�9 8 _. <br /> •....+.....a.r.s.....r.f.rw.r.wrw..u..r.ra..ro.rw.....r..�......-.v.r.w..w.wo.w.r.w.r.w..e.rww»....-..s <br /> SE=0N 3 - To be fUIotL oat by cg.0 t r "de¢otthmtlnAtfag b*k": <br /> Task OscootaminaCoa Cmc-j or: <br /> }L City. Zip: <br /> Awhoriud ropttten�ive of aomt m=mint dsrc*ziysumm below that ttu utok has bees dGo =wiauted In an+pprovld <br /> as Tw4iretd Ity G1 EFA. <br /> � <br /> NaataLN <br /> d►1_ ♦=Ct,.aljig <br /> •...wrrww.wwMwy.rftrw��,�. �rNrw....r�.�r.rw�.r..n.ww.w..wrwwr+aww.rvr w�wv� <br /> SECTION A - To be deed AW dvAd by m 2a svi ad repratsmin df mt;tmuacw.maga ar dsepuad fatality <br /> amcp4q tusk atM/ar plot.e� l <br /> FwairJNamo: l rF'+C15 4l��Y�{�v1Y` <br /> ABdtrta:_ ��_ tll_ ( ;► �Q Cay= T;i*x4cr— C z:p: <br /> Fbaae/: (�_).5r ` � <br /> Out Tank Rsemvcd: 3 <br /> vacu �Ji �o2�S �9T� tills: � stgaawte l�f-��ae � 0 <br /> .nwr..ws...wrw.....w....,.w.....w..+o.++.....r.w+r.w.wwwrr�w..rwrwuw.r.....rn....�..-..w.....+r...w.. <br /> EH 23 046 (Revtyed 9/111% pge to r <br />