Laserfiche WebLink
4� Everett Fire Deparmtent - Fire Marshal's Office <br /> ill 2930 Wetmore Avenue Everett WA 98201- 7th Floor <br /> V <br /> V PH. (425) 257-8120 FAX (425) 257-8139 www.everettfire.org <br /> Tank Decommissioning Report <br /> Permit Number:TANK2508-003 <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 Montgomery <br /> Firm's Name Filco Company, Inc. <br /> Decommissioner's Mailing Address PO BOX 31228 Seattle, WA 98208 <br /> ICC Underground Storage Tank Decommissioning Certification number: 5050940 <br /> Address of Property where Tank is located 11319 W Ibbersofl Dr Everett, WA 98208 <br /> Address11319 W Ibberson Dr �ityEverett, WA zip98208 <br /> Approximate Size of the Tank or Dimensions:500 Approximate Age of Tank:20+ years <br /> Last Known Contents of the Tank:Heating oil <br /> Date of Decommissioning: 11/14/2025 <br /> Type of Decommissioning: <br /> Removal <br /> 0 Abandonment in Place <br /> 1-1 Removed and Replaced with a New Tank <br /> Date of Pump and Rinse:1 1/14/2025 <br /> Disposal Location(s): <br /> If Abandoned,Specify Type of Inert Fill Material: <br /> ®Concrete Slurry o Other Inert Material(Specify): <br /> ® Sand O Foam <br /> Soil contamination observed:N/A <br /> Recommendation: <br /> Location ofTank:front left side of house under window <br /> Decommissioner's Signature: NAjLoo <br /> When report completed,please scan and email report to:fmota-everettwa.gov <br /> REV 6.20.13 Tank Decommission Report <br />