Laserfiche WebLink
a <br /> ,r <br /> III . (Continued) <br /> B. Contractor who_' R moves ' r Ff��yl d Tank <br /> Name : _ �' -c c. c 'I <br /> Contact Persons ; <br /> Phone Number : <br /> C. Tank Integrity <br /> Tank Test Method : <br /> Contractor : <br /> Contractor ' s Number + I <br /> Results of Test = <br /> Sensory Evaluation Sight OK [ ] Not OK C 7 <br /> Smell OK ><, Not OK C 3 <br /> Soil Analys,is ' if Necessary{From Below Tank-l". <br /> 4 <br /> Laboratory : ac-e A/✓r c <br /> Number of Samples ; /A/ <br /> Analysis Run : rF' reve_— our e — r —V- V <br /> Results of Test= <br /> f <br /> i' IV.` Disposition of Tank <br /> A lfl�azardou�s— Contents <br /> Transporter : 6r-ecf l- <br /> Disposal Site ( or other ) = (. <br /> B If Hazardous Contents <br /> 1 TankCleaneu Inside so as Not Hazardous : <br /> f <br /> Contractor who Cleaned Tank <br /> � �- r <br /> • <br /> Name : ,iy'lCr �c� � its. ,,.,c <br /> EPA ID Number + C/7 Le)QCJ Y �6 y9z <br /> Transporter of Hazardous Clean <br /> i ng So lj4t jy4� <br /> Name : <br /> Manifest Number : i 2 <br /> EPA ID Number : l7 U <br /> • �r c NTf1Lii�P�` <br /> ffI <br /> 1 <br /> I <br />