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Marine Vacuum Service, Inc. P0.Box 24263 Seattle,Washington 98124 <br /> GENERAL CONTRACTOR Telephone(206)762-0240 <br /> CONTRACTORS LICENSE#MARINVS097JA FAX(206)763-8084 <br /> 1-800-540-7491 <br /> AST/UST STORAGE TANK PUMP& RINSE CERTIFICATE <br /> Tank SizeCDU 1� <br /> Last Contents 2LJ''-1\LeA 1` L <br /> Tank Location: 371'c 7i-/' ..5' /4-t <br /> Marine Vacuum Service,Inc.certifies that the above mentioned tank(s)have been triple rinsed in <br /> accordance with the industry standard as outlined in 40 CFR PART 280.70,WAC 173-360- <br /> 380(I), API 1604, API 2015 and that all residual product and rinsate has been disposed of in <br /> accordance with Federal, State and Local regulations. Tanks listed above are NOT GAS FREE <br /> or NOT SAFE FOR HOT WORK <br /> Tank Owner: r f`'err <br /> sch ,j p q <br /> P J <br /> Contractor: <br /> M.V.S.Representative- <br /> Date: <br /> 4F/2"/ <br /> Notes: <br /> DBE#D4M1302341 EPA#WAD980974521 <br /> A MINORITY BUSINESS ENTERPRISE ID#D4M1302341 <br />