REMOVAL PAPERWORKTANKS
17552�
Phone;
License
DATE t
ATTN:
EMAIL:
Site Ac ------
city, tamonds —Zip: 98020
300 allon p
Tank Size: 9 Contents: A few Inches
Additional Comments: Complete removal -No machine onsite, both crews, ICC certified onsite & in.
OWNER NAME: PHONE:
EMAIL:
BILLTO: Santerra
EMAIL: cadp@cdaarch.eom
OPTIONS "Please select preferred option below":
'SOIL {
/-' w
REMOVAL:
FILL
PERMIT:
PERMIT
OTHER:
OTHER.
TAX:
TAX
TOTAL:
TOTAL_ of all cc
0_ bD Options listed above include pumping and disposing
will be cleaned and rinsed prior to filling with approved inert material
However, if landscaping is im
disposal of the tank itself. The excavated area will be backfIg an
and return it to the original condition. of contnminat sli
e5llmate. , Per WAC 1��300 Discovery h ur I
Payment
II
Re -Useable oil will be donated to families In need rou
• payment is due uyon co letion of service. Lai parmh cop
• , a- 1--- fees. Ali certHicates and edtt cards a
and reasonable attorney cash, checks, all major
Tanks By Dallas accepts _ - cnSF SIGN BELL
�JAufhorizing Agent
INFORMATION AS POSSIBL
6lgn�ure Own PROVIDE AS MUCH S GAS LINES, WATER J
..NOTE" T80 TRIES TO UNKNOWN FACTOR
E SHOULD �O NT EOM ANY UIRED TO COMPLETE THE JOB. Prior to incurring'
Gp,RGES MAY BE R WORK
PERSON AUTHORIZING THE
W
required.
1I-d/_W�
� LJ�