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TANKS BY DALLAS <br /> 17552 Ballinger Way <br /> Lake Forest Park, WA. 98155 <br /> T: 206.365.0291 F: 206.361.0992 <br /> tanksbydallas@tanksbydallas.net <br /> www.tanksbydallas.net <br /> TRIPLE RINSE CERTIFICATE <br /> TANKS BY DALLAS HAS TRIPLE RINSED THE OIL TANK AT: <br /> ADDRESS: 310 Alverson BLVD Everett WA 98201 <br /> DATE: TBD <br /> Services were performed using industry standards as outlined by 40 CFR PART 280.70, WAC 173-360-380(1)API <br /> 1604,AP12015 Tank contains approximately 107__gallons of oil waste.Approximately 100 gallons of water was <br /> used to rinse the tank.All waste products will be disposed of through Marine Vacuum of Seattle per state <br /> regulations.All good oil will be donated to our list of local families in need. <br /> Decommissioner: Dallas Gigrich �' <br /> EVERETT EVERETTtea' <br /> ol <br /> Everett Fire Dept. Permit Review <br /> Decommissioner Signature: Status: Approved <br /> Reviewed By: KBrown <br /> 03/10/2023 9:57:31 <br /> 11a'1z' Z�)a&�/Z AM <br /> Contractor License # TANKSDO01 KF Permit #: TANKS2303-001 <br /> UST CERTIFICATE # 32US32003668 Site Address: 310 Alverson BLVD <br /> Owner: Heather Hendricks <br /> Application Date: 3/08/2023 <br /> Description: Decommissioning - Fill in Place <br /> Review Status: 1 st Review by City & Peer Reviewers <br /> Review Date: 3/10/2023 <br />