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f 1 MAR 25 '04 16:13 FR Cr'^TCO GASOLINE 425 427 7119 TO 912094640138 P.04/04 <br /> _. VO/L'J/LUU4 1Y.4f LU J410VL� t.V7'lU WrIULLO rwVG UJ <br /> MPP. 25 '04 12!=7 FR CCSTCO GASOLINE <br /> q25 427 7119 TO 91209276 P.01/01 <br /> f,',WMD PROGRAiNt CONSOLMATED FORM <br /> TANKS <br /> LL(DERGROUND STORAGE TANKS-INSTALLATION <br /> CERTIFICATE OF COMPLIANCE <br /> (One aa[e(kr mat) <br /> I) Free of <br /> LLL <br /> BUSINESS In.fFACIId1X IDETFCAUON <br /> Gr <br /> , <br /> ADDRESS OM bear req) ry. <br /> FAn.rry IDs j i I 1. TANK IDs •,-. <br /> LT 7 n <br /> MINSTALLATION <br /> (Ckvk.01 om 4FIT) <br /> m <br /> The installer has heat trained and certified by the tmk and piping manufacturers. <br /> ❑ The insWlaiion has been inspected and certified by a registered professional engineer havmg education and experience '^ <br /> with mdcVmd storage tank instaAations. <br /> 9--'The installation hue been inspeciad and approved by Etc Unificd Program Agency. <br /> L.y� All work listed on the manufacnveYS installation chNdlS[has been Completed. <br /> installer has beta Cemfled or licensed by the Contractors'State License Board. m <br /> lam' The underground nonge !ark, my primacy piping. and secondary containment was installed according to appliwbic 'f1 <br /> Wiliamry conseRms standards and written metufactater's installation pru cedarea. <br /> Description of work being certified: <br /> 1Ns��/ 20,E 9�Gfa�✓ u�r <br /> III.TANK OWNERlAGENT SIGNATURE <br /> I aenify dur Ute mrRnnadea pwidd Mmin b rnu tad a %;xa ra els bin array kW.edge. <br /> SwWA—TLFR WNEWAO DATE w <br /> 3�2 S 4 <br /> NAMEOFTAN ACEN (prim) TITLE OFTN U" <br /> ennrs Gk Gr�.S �u.,ce �.vso Gt' <br /> UfeF(3yaF)N.Arn<-IR eaatfMww.lmidoeaay P*..Milk a <br /> alx TOTAL PAGE.01 > <br /> ** TOTAL PAGE.04 <br />