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TANK CERTIFICATION <br />ww.wwwwwwwww,r..w <br />PARr1-rob*c*mPktedbyt1wcmwnwwww :.....owwwww <br />CUSTOMER: �1�� �,J� . S��s GENERATOR: .S isJ 1 <br />LOCATION: 40 stl�nl� ���L ���`' EPA I.D. #: �l� -DD 001.TRANSPORTER: "1P- � cls ®..._MANIFEST 0: <br />TANK tf TANK 2 TANK 3 TANK 4 TANK 5 TANK 6 <br />TANK : %3-7`t <br />CAPACITY: 'OCA �--- <br />DIAMETER: At <br />LENGTH: 2 <br />STEEL / GLASS: <br />LAST CONTAINED: i" e j <br />LG ! Leaded Gas, UG ®UnIsaded Gas, D w DIeW, UO ! Used Oil, FO — Fuel OU <br />Specify this msrtwW Last Contained if otter than the above. <br />I hereby dedare dw the tank1s) lived above on this Tank Certificadon form are fuh�y end accurately dewzbed, <br />and the is on vwsport eqWpmentbeen nimbered <br />to corfespwd wfth the infommdonprovAi4d <br />above. In the event d�ar the tanks do not correspond to the form, or contain arcessive soffds or AWds, I WN <br />pay any end all costs kwuffed in rect;fying the criscrepancythW between 00 tankfAJ and the forM Of for <br />CUSTOMER <br />ww�w�:..www <br />PART 9- Tobe cotoplated byERICKSON Tank Pro ®ng owwwsoasaww <br />TANK f TANK 2 TANK 3 TANK 4 TANK 5 TANK 6 <br />RECEIVED: <br />CLEANED: <br />G.F. CERTIFIED: <br />WASTE SOLIDS: <br />WASTE RINSATE: <br />USED OIL. <br />ERICKSON SUPERVISOR SIGNATURE: DATE: <br />CERTIFICATION FORM IS: OKs NOT OK: SEE REVISED COPY: <br />OFF LOADED BY: DATE: <br />State Transporters I.D: 09c slzua <br />200' 3Jtld ON I NOSAD 183 W08J 66:01 16, 6 03Q <br />