FIR2024-0099_Site_Plan_10.9.2024_12.59.39_PM_4550067DECO BID TANK LOCATE SOIL SAMPLES
RESIDENTIAL RECORDS FOUND? RUSH
COMMERCIAL _ CURRENT HEAT SOURCE UTILITIES LOCATE DONE?
CUSTOMER NAME b b DATE I n ! Z l
HOMEOWNER OR BUYER?
SITE ADDRESS _1 G ' 944- �AfCITY E 6 n n 6s ZIP ,9Q 2_Lp
30-MIN HEADS UP? PHONE LA C' 11 2 - HC)q q
EMAIL fA Ca C 0 h t\J V-1 )/ �y:-e r ��
FILL TYPE? STANDARD / FOAM REMOVAL? Y / N MACHINE ACCESS? Y / N
NOTES:
FILL GRADE 4" FILL PIPE ILc DIAMETER 3 -1'% TOTALS TANK SIZE, CONTENTS
GROUND COVER the POWER ON? Y WATER ON? YN NEEDS NO PARK SIGNS? Y (N)
TANK LOCATION
SERVICE REQUESTED• FILL REMOVAL PLIA COVERAGE FOR REMOVALS: W
ANY OTHER IMORTANT NOTES ABOUT THE SITE:
BID COMPLETED BY: s �_y6N_�
SITE INFO TAKEB BY
SITE VISIT SCHEDULED FOR
30-MIN HEADS UP? __ _ PHONE