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Pdi13U2 DOLORES BAPTISTA <br /> Mary 09 UO Ol i 54 Mike Brown PAGE @1 <br /> V5f09/7N8d 17:45 2094 3� <br /> F IF TM ►L GpR �J' PAGE 9.' <br /> V � <br /> SAN JOAOL7W COUMTlf ltUMUC I1IEALTH SgRVICXS <br /> [1NDFRGROU"TORACC TANK SIOSITION TILACUNG RECORD <br /> M.lAlwl..r►..wa.r..rNaaNr.w..a...w..l....ll/grwMlNl�ry.........wprrrra.l.a......N.rq rNa•.Nr..r.a z <br /> STCnON l-P+rbllc A•altb Serviccs EavLmw=nw HcWffi Diriaiorr Tartk TraCkip Shcet shall .0 C <br /> ua ria•idcasi{tcati 2 nnmbcr, 'be Tank Tor1t.S Shrct"r0 he M—s>d to Public Herish 5cro ecs Y Rath lHea aJ21vi tol <br /> ARNW2A TI of acceptance of the w*by the do uertseprAl r Heam Dtrgsio7 A <br /> Mie f0M IS Completed end reruroed. P°sal or reryCl>r><(•CtE,ry. Tl:a vea+ek noieat u rtapesn rolr for emurir:;that <br /> FACILITY N&ME, <br /> FACILITY Ab0RE53: Q 2 OILS' <br /> TAT•lC 1D 039- k4e) <br /> - - -o <br /> T.TANK S1Z14�\ C <br /> lJ/�f O-)l (`J, 3L�Q CtsPREVIOUS TANK CONTENTS: f eS`G- 3- C=) <br /> N1M.r•rrw Nrwr4��(iiaarF'a:ya�.ar.raw..•srrN..wu NarMwa•r..r.rr.a..a..a..r.ra•�.r...w.l*.wwrrraw. m <br /> I'IEC710N 2•To be f&d out�unit tttmotrs;l tpehallOr: (J) F> <br /> - _Taralc sleteotal Cogt-a�7or WQS7 _ ...... � <br /> pboae d:l � ) !¢ Dots Tach Removed: <br /> 0.......0.rl.Y.r}►..N.a.r..a1N..�..1........... ....1"..,.......... <br /> SECTIO'!3.To be filed out by t mfrs&%r "saeaot•nairseinj eank^- <br /> Ts>tlt t7rcosttioniap Comraeaor;.0lfV1AjIY�/ c <br /> ,address: <br /> Audwrized roprea•gtativ*of cootimior ccrti(rink d>rpuo rusts"below that the tank Lu been dxomaxwAted in an approvw <br /> >r,alrpar a`s r`equQ+Ka by(;W EVA. Ro7 E1,\`� rAvo g C <br /> N'" s ` �. Ti1cSGCk_- d Q\. S;f � ��R LLhax <br /> ..�r.a raa..s.Nr•Ha.Mir/1tMMlMl��trarr.rMrwarrr.i..�a�r wawrra.rNrrwrar.ra Mr..rw.N.Yrrrr.�r.....•. <br /> SKMON a.To be lip"wd 4 d by an z~"d rep"smatdre of do Weaunear.saorAp.or dupoto facd* <br /> aCCCp g took ao&or peQtai. <br /> FacilhY Name rl.L.�� S f,��r�,ry <br /> Address: 700 A,, <br /> eiry: zip: 4 Af <br /> Phone C(ky <br /> Date Task iVM <br /> Slpimn: <br /> r�•rr'.....N.1.1�N.M.r..Mrlrrlil/r rlwa N r.N.1..r*y..r..rlri..ra.rr.l•1..a..raaM.lr.l a....►a.Mrrar.i. <br /> EH 73 0e6 (RavU"10/19l9g) Pale 10 <br />