FIR2020-0049_Site_Plan_5.22.2020_12.22.30_PMII -
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BID
LOCATE SOIL SAMPLES
RESIDENTIAL
COMMERCIAL
RECORD SEARCH COMPLETED PLIA
NAME Nd►dm \---tm� t X _ DATE 0 1 !?)t,0 .,O
SITE ADDRESS �"�` i�� PN e. N _ 'CdfnOMA S ZIP _
PHONE VA REFERRED BY
EMAIL I
TANK SIZE W
FILL GRADE
CONTENTS: OIL
OFFICE NOTES:
FIELD NOTES:
FILL PIPE
LENGTH
WATER
In
_ DIAMETER TOl AL
GROUND COVER
OTHER
P
TOTAL
ANIMALS Y/N VACANT Y/N WATER Y/N POWER Y/N NO PARK SIGNS Y/N LINI MORK Y N FILL/REMOVE
-------------------------
30-MINUTE HEADS UP
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Site info taken by: _�V� Deadline: 3 l t -1
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