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20121127115006320.pdfFilco Company Inc. PO Box 31228 Seattle WA 98103 206-547-8347 Lic. # FILCOCIO80RU EAP. 10/10/00' IFCI License #16x` 7 & —U,2 City License # 13Co 76-_ JOB SITE ADDRESS;_q 9 ro-2 0 ' 'S -r - OWNER: s-4-19, ia HeldRId4le- ADDRESS: 51?mk a -Y a&aye a PHONE: Ya:g 77q ACTIVITY: (Pump Clean and Cap) Pump & clean (triple rinse) one �__gallon underground oil tank. Cut off or remove vent and filler pipes and cap them permanently below grade (Pump Clean and Fill) Pump & clean one gallon underground oil tank. Fill with Structural Polyurethane Foam. Cut off or remove vent and filler pipes and cap them permanently below grade. (Removal) Pump out one gallon underground oil tank. Excavate, and remove the oil tank then back fill the hole and dispose of tank in proper manner, 57 ro housL ii C0,12e7ele r7bed A r - e4 I IVY D NIMR 1 6