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JUL-03-2002 14:35 SbUTHLAND CORP NW DIV. 503 977 7711 P.09/16 <br /> ®;® ONITOIGNU tiybi tM Id rtt IFIt.rn,'-" <br /> logo Wall Ay AN JtnlSCY'danS VA*tho Shoo of ca67om1a <br /> Authw*OW:CAapW fi,.1,if and$W1ay mwo;Chapfor is.Rivlsktn 3 M 29,cammia <br /> ltnb Pnnn IrKMrat ba wed UM*A=- <br /> ffmiks <br /> daa+mant tacunp atrt of nntukutiki oou�Krnonk 11 moro oohs madloriFm RV n taaetemy or k Mill <br /> U t to fol may,a aapaelo <br /> r twi14o1.>�.eY Iha loalNda�n udto pOrktmna tut .A I IN ods(wnt unmt to ddevidad bi kw Lark <br /> 01 lihhaa Iooal 010BIIeY repumtlf101I.y I ytN �Y u10bN. <br /> Owmau mdatAdWOVOithinUMleA.r <br /> lim <br /> r�ikil Nomoi 7 GLSVW 02WJ2 PSKT 7937 Gip ETOCKTON rA ML:9' <br /> sJDs grpsaaa 6027 OA CI DR. Contact rhotic No:1t �J:440 <br /> 2 MARM LN. Date of Teat(ngmaMooi fMVn7/2002 <br /> Flidi4i Gmdte;l Parson: esGR.SAt81R <br /> Moomclaol of MadtnpinU 9ghilmix VEEOrR Rt)OT TL3 WOrlt Ordor Nu:tbet <br /> 0.la"Nory of Equlpment TeatoMen111old <br /> cream dw appropHA"bultne 10 klfdtta apecifio oqulpl'WO kWP*ft n <br /> Tank Im RUL. Trash ID. PUL <br /> Wi4vi. 047390 <br /> X In-Took Qwlgdiq IneOe. Modah Sa73VO IMTank Cotroav fps. <br /> 'J43W 420X ASpmor VaLIt Kama, WWool: AnNi►Spam a Veut Sam Nod; 7 <br /> nnular <br /> X ung Sumurriviril3anam(a). Nodal 7N4940 3 ripho 8uwfomah Samalaft. mm"'! 788m80.35L <br /> Fill Suing Senea(n1. Model: PiR sump Sanmf(o)• : <br /> Medwtdcd Lim Leak Daww. mm%L VIL LD2000 mmallmiad Una look air. N md: V/L LD2000 <br /> ElmAmnle Una Lank Detector. MOM! 8w¢VaUde ns Lank rada= Mu;wt <br /> Tank Cv&WUWlgrt t avd Senea. Model; Tads UveAaNigit•I oval Swaaa. MUM <br /> Cgw(spa*apulp nont Mm and mom in Semon F nn page 2L (WdIv eadimmint to Ono m in Section E on PON 2). <br /> alk iD: <br /> In-Tank Oou8kVP�O. madot hrTankGau9kt01'ro0a Nodal <br /> AMumr SPOW or Vault SWOr. WOPec Annular SPWA a Vanni Sarenx. Modak <br /> misnas„urnplTii m li Wmar(m). Modal: 1hpitq�otglTmnal'SmMmW(0 est <br /> nii time ama(a). Modtd' Flil btenP 4pnaln(IQ• Mei• <br /> aI Line Look r. MOdlit Lye Uemk Dlteotm: Modal; <br /> L-00#04*I Ina I aaK GRAY;. Moda e�ir0*1 Lila LWX Dd=Wl Moclap. <br /> To*ORMWI4101mmM Sanaa: Modol; j TmIK pOMWI th-Laved( 1ct: <br /> htniw(ap�ry ugataundd NDo anA mode:in 8dctlon 6 m 6O9a'�• Denor(apWfy dquIpmt"and mmol In 66MIon 0 on tecta�. <br /> of <br /> DI�SltaarOvrdoiruteldCvnKetja) ,.7948t303E2 _ adpotctntCAndailateatlnnntaj Klaukdt784 09'I <br /> Sdbdr VaMt(a). WLoOF Valvula) <br /> rilarvirmar t n"Iln ma I agm)and Chaska Dtaialt� lal;Ktad noot(e)and Chein(a). <br /> Diap0t100f , Dbp <br /> tttgOr i . <br /> pdppenmr Maalnso,(e) MOmc .. tkvpaiwar faadA RMIL Sal nm'a/aU Modok <br /> Mow Val"(e). poor vrk"lq <br /> Ditosnoa Oantailaront and CAailt(R) D' ties Cwdolmnoa Fiatr(41 oast fAaultx). <br /> DlaponoorIa! 1Nd0neerlD: <br /> Uy noafraatvtnttd�Inaalai Modell .— iklg1an4AftiaimWmnt*tndR W- <br /> VONefa) alv an Vdhofol. <br /> Hisao mm conleinlra4171"I(a)and I t(e). DsuallOal dmdoinnondrw*)and Cdwin(eh <br /> u ma tatdtty aaitoil LO neo tanks or dkiponaom,dopy met Iona•Mide kifnmadita t fur every tato and dapaiclor set the Wty <br /> a.cortlncation <br /> I rmay trwl the a anvul Wontlfted in INa ttooummnt wag dnspoet0e/seMc�In wxndra ma with the manLfedumW gLLldol(nae. <br /> Attached to tld tvortilimWon Is)ntormaooe(e.0 m ritimurem'dhiukEviv)nalm3a y to vediy that Mk:miWiffnewn It correct. <br /> WW n Sen Plan showing she IaWotd 01 mats rip 0quipment,ha any ndpWmnt captft u(ya naraling much repoda,I hWM also aWAMd <br /> a copy or IM(Chet ad that WPM: Syahan sotwP reports ❑ Naim history report <br /> Qm-� <br /> PRINTCD WASANEIL OHAND !SIGNATURE: — <br /> COMPANY: TankPHONE NO: (s00)800403 !fid cat CA flxdrl duras 03/01 <br /> page 1 of 3 <br />