FIR2024-0075_Site_Plan_9.4.2024_10.20.09_AM_4478918TANK LOCATE
RECORDS FOUND?
CURRENT HEAT SOURCE
SOIL SAMPLES
RUSH
UTILITIES LOCATE DONE?
,jMER NAME ! %A 1 c V l cAjQ t-CD DATE S 2 ti <
tOMEOWNER OR BUYER?
SITE ADDRESS 22-10 lP 0j2Y1 & Aw Ind CITY e_4C4 M [)h (A, S ZIP o
30-MIN HEADS UP? PHONE ZOLO Oci -o
IrlvJ
EMAIL
FILL TYPE? AR I FOAM
NOTES: f)-YY\ P
FILL GRADE `l
GROUND COVER
TANK LOCATION
rd-
REMOVAL? Y I N
MACHINE ACCESS? Y I N
FILL PIPE 2.) DIAMETER 3 _7TOTAL(fy TANK SIZE 5 CONTENTS
u, i pu-r_� 0 �(f
POWER ON? Y /V WATER ON? Y I® NEEDS NO PARK SIGNS? Y I N
SERVICE REQUESTED: FILL i REMOVAL PLIA COVERAGE FOR REMOVALS:
ANY OTHER IMORTANT NOTES ABOUT THE SITE:
s1�
BID COMPLETED BY: 92nd Ave W
SITE INFO TAKEB BY AA -0_Q �TCt SITE VISIT SCHEDULED FOR � � Z 77
3""EADS UP? PHONE