Laserfiche WebLink
Everett Fire Deparmtent - Fire Marshal's Office <br /> 2930 Wetmore Avenue Everett WA 98201.7th Floor <br /> PH. (425) 257.8120 FAX(425) 257-6139 www.everettfire.ora <br /> Tank Decommissioning Report <br /> Permit Number: TANK2407-003 <br /> This report Is required to be completed by the current holder of an ICC UST Decommissioning Certificate who conducted or <br /> directly supervised the decommissioning work. <br /> Decommissioner's Name Nathan Montgomeny <br /> Firm's Name FIICO Company__, Inc. <br /> Decommissloner's Mailing Address PO Box 31228 Seattle, WA 98103 <br /> ICC Underground Storage Tank Decommissioning Certification number: 5050940 <br /> Address of Property Wlieie Tank Is located <br /> Address 2431 Virginia Ave city Everett. WA zip 98201 <br /> Approximate Size of the Tank or Dimensions: 50 llon _ Approximate Age of Tank: 20+Years <br /> Last Known Contents of the Tank: Heating Oil _ <br /> Date of Decommissioning; At igltSt Rth, 2024 <br /> Type of Decommissioning: ' <br /> 1-1 Removal <br /> 7 Abandonment in Place <br /> 1-1 Removed and Replaced with a New Tank <br /> Date of Pump and Rinse: AUgust 8th,_2024 _ <br /> Disposal Location(s)• <br /> If Abandoned,Specify Type of Inert FIII Material: <br /> ®Concrete Slurry O Other Inert Material(Specify): _ <br /> 0 Sand O Foam <br /> Soil contamination observed: <br /> Recommondalion: <br /> Location of Tank: Left-side yard 67" North of house & 183"_West off back of house <br /> Decommissioner's Signature: <br /> When report complefed,please scan and email report to:frno@eyerelfwa.gov <br /> RFV 6 20 13 1 ank Decommission Ruporl <br />