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m Thorpe Oil , Inc <br /> 351 N. Beckman fioad • P.O. Box 357 • Lodi,�t,A 95241 <br /> (209) 368-6175 0 (209) 462-4581 <br /> r Contractor's License 1495699 <br /> TRIPLE RINSE WORKSHEET and SHIPPING PAPER <br /> - EggLf5 <br /> Customer er Name:fD � _ Date: <br /> Billing Address:_ <br /> 91te Address �� r �• �'�'� t <br /> ��10r Number of tanks: <br /> EPA Site No. : k Gal . amt. of <br /> Gal. amt. OR Exempt Rinsate <br /> Slze of f Tank sticking removed prior Tank IV-- <br /> k <br /> Remove________ <br /> Tank _ Product upon arrival to rinsing _ / <br /> /Doo �s r 0 3� -� -- <br /> J _ `— � Total amount o als. <br /> Total amount removed ins in _ gals . rinsate removed � .-----� <br /> prior torinsing- <br /> Waste <br /> 9 <br /> EPA A L <br /> Waste and rinsate removed by: w�/Z—C'qC aj-- . <br /> 1nv.� <br /> Manifest <br /> Time: Left shop <br /> Arrived on <br /> y left site Arrived at Shop ---.-- <br /> Rinse Technician ZEC — ''— <br /> rFlammable Liquid , UN 1203 gals in drums <br /> Gasoline, (Rinsate 99% Gasoline 1%) <br /> Fuel Oil , (Rinsate 99% Diesel Fuel 1%) Combustible liquid <br /> 19�3 gals in drums <br /> gals in drums <br /> Oil , (Oil NOS) , Combustible liquid, NA 1270 <br />