Laserfiche WebLink
Feb 26 13 09:11a Ellit IV Con,tactors __j_ 6342 P.2 <br />�094QL <br />1 7 <br />U"ERGROMD STOPAGE TAN% <br />CERTWICATYON OF INSTALLATION/6' d )DITICATION <br />(Onof6m <br />PCrproject) <br />—W"tBali—AN) <br />1 0 mar.) N ), C. , - q -)Wt) <br />I U 6 Cj <br />TYPE OF PROJECr (Cbwk ALft ani aaa, <br />WO& PERWT <br />0A. TANK INSTALLATION OR REIIIACHMENT, (N—lle- Date): <br />0.2. PIPING INSTALLATION OR REpLACE,�sTi!' <br />01 SULIP INSTALLAnoN OR-REpLACEWENT <br />.0 4. UNDER DISPENSER CONTAINMENTIlWALLA170N ORREPLACEMENT <br />S. I." <br />OTHER <br />DF-SCRHMON OF <br />WORK <br />Lot f M13-5 <br />lac Lecky: &-�f -In +ho cc n c ,;:lpt jj� <br />Ll <br />--17COr.tifYt6ttheinfwma.fion-,Prvvide&herejm-b-tru e=at"xtd-thatthe-&Ilowing-con <br />v -been ra L fted: <br />• The insWler <br />et forth in-23-CCKk27-15i-subdivisions(g) and Qi).' <br />T -b prfi ..pi 'contaiwment as in'stallepd upcord*mg to)- applhicable <br />e.undermuAd storage tan Oy n.w <br />q p <br />��ng,and*,apy secondary <br />vp n consensus standam and any manufacturer's Wfitten —mst-- aj—�­ <br />410 ma,n,u,f_ctum, ils'inst-al*l-a�-ori,,c"�'e'�k&t.h'as..bem'cor 'Jeted. <br />_4p <br />:_,M and approved -by,rhe -16cal. agency, of ifrequired by tac I XW- agency, i4spected and certified <br />xegisieredvrofeskonal-eng-ineerb; <br />education and experience with ,.M.ndergroand sac a' tank. Stem installations. <br />7 7 .......... <br />• <br />48W <br />2L <br />M Tumvs TITLE: 496 <br />-W <br />403 1 489.. <br />URTIPM, Rmik!10149�0f) <br />(bb k; <br />I. TANK OWNER nr <br />TANK-0R.E:RA-MR <br />3. CONTAM-7OR -1 j.':pR0?ExTY,.0WNER <br />Al- �QRLZE�DAJ 41OFMANK <br />jDWNFR <br />DFCF ljSf-c i/i, <br />