20130814124612761.pdfis Locate Soil Sarnples
TA1\1KS BY DALLAS/OIL LOCAI-101\1 SERVICE
Name
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S A e a cl u r e 5
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SOUrCe of referral Anont/01,vner/Contractor
Time In
Lout
Location oftank`
Vacant Ajj2Doer Code
RHDiameter
a
Total "'S
Fill pipe above/below grade _Lengih
of tank
Tank size Ground Ground cover
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Contents; Oil VvDier
Other
Tota 1 "1
Office notes:
A P
Red Notes; (depth of soil samples et all) JA
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