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DECO BID TANK LOCATE SOIL SAMPLES <br /> RESIDENIIAL V' RECORDS FOUND? N 0 _ RUSH <br /> COMMERCIAL _ CURRENT HEAT SOURCE_ C05 UTILITIES LOCATE DONE? <br /> CUSTOMER NAME C inG�YAA ak 0 Vk DATE 12 11 <br /> HOMEOWNER OR BUYER? <br /> ,, <br /> SITE ADDRESS 3 L] 15 TU 01 I 1 CITY EN/-P 1_t ZIP �o <br /> 30-MIN HEADS UP? PHONE LI 2.5 r'<9 I D !g S ZLo <br /> EMAIL • <br /> FILL TYP . STANDARD/ REMOVAL? Y/ N MACHINE ACCESSCj N <br /> NOTES: fot11J S( "l uyr <br /> FILL GRADE-C- W FILL PIPE _V r DIAMETER 'A1 TOTAL 1" TANK SIZE CONTENTS <br /> GROUND COVER POWER ON?o N WATER ON-I N NEEDS NO PARK SIGNS?Y/N <br /> TANK LOCATION VOU <br /> SERVICE REQUESTED: FILL /REMOVAL PLIA COVERAGE FOR REMOVALS_ <br /> ANY OTHER IMORTANT NOTES ABOUT THE SITE: <br /> TANK <br /> i <br /> BID COMPLETED BY: 1 p <br /> SITE INFO TAKER BY. f(S(A SITE VISIT SCHEDULED FOR .�c_�' Z /1z, <br /> 3WD)0 C)Y) L) Y_ wCy <br /> 3D-MIN HEADS UP? PHONE L4 25-- '577 O- �� "` <br />