FIR2023-0065_Site_Plan_7.3.2023_7.33.01_AM_3644813DECO BID✓
RESIDENTIAL/ -
COMMERCIAL
CUSTOMER NAME
HOMEOWNER OR BUYER?
TANK LOCATE
RECORDS FOUND?
CURRENT HEAT SOURCE
SOIL SAMPLES
RUSH
UTILITIES LOCATE DONE?
DATE (Q 16
SITE ADDRESS V V -CITY ZIP W�
30-MIN HEADS UP? PHONE p�D
EMAIL
FILL TYPE? TANDA 1 FOAM REMOVAL? Y / N
NOTES:
FILL GRADE }-LI
GROUND COVER
FILL PIPE Tql . DIAMETER 3$
POWER ON? Y / N
TANK LOCATION `e�k S`16- O�-
MACHINE AggUSO N
TOTAL 61!4 TANK SIZE 3 CONTENTS 1(f n)'l
WATER ON? Y / N NEEDS NO PARK SIGNS? Y / N
SERVICE REQUESTED: FILL / REMOVAL PLIA COVERAGE FOR REMOVALS:
ANY OTHER IMORTANT NOTES ABOUT THE SITE: GOMe C
prim
k2i
BID COMPLETED BY:
SITE INFO TAKEB BY SITE VISIT SCHEDULED FOR - U_
30-MIN HEADS UP? PHONE