FIR2025-0014_Site_Plan_2.20.2025_9.47.56_AM_4770917DE� / TANK LOCATE SOIL SAMPLES
RESH3ENTIAL, '! / RECORDS FOUND? _ 1- �' RUSH _ ! _ -
COMMERCIAL CURRENT HEAT SOURCE UTILITIES LOCATE DONE? _
CUSTOMERNAME�'z�—eC�� �� l DATE ► -1
HOMEOWNER OR BUYER?
SITE ADDRESS �-\ l R Z /�y4 CITY Ecrgo n cL_ ZIP �! U
304AIN HEADS UP? PHONE �{ ' 1-'-'-i 53 S
EMAIL T e Cl C� z�, � ut rl r "c --r\ -
FILL TYPE STANDAR FOAM REMOVAL? Y / N MACHINE ACCESS? YJ N
NOTES: - -
FILL GRA05tC'L FILL PIPE DIAMETER TOTAL Iy'�� TANK SIZE S CONTENTS `Z 01,1
GROUND COVER -' �! �� POWER ON[leY N WATER ON�/}J I DS NO PARK SIGNS? Y / N
TANK LOCATION 1 rA n rlt w Yn2 re 0 y', 2,12 (A, CCU YV, 2o 4 I (A r JIV ,U 1_-.
SERVICE REQUES ILL 1 REMOVAL PLIA COVERAGE FOR REMOVALS_aA
ANY OTHER IMORTANT NOTES ABOUT THE SITE:
Power + rCT ree
21628
Vent pipe
300 gallon UST (fill pipe)
Decommission by fill in place
�j Front yard
1
BID COMPLETED BY: 98th Ave W
SITE INFO TAKEB BY $Q, SITE VISIT SCHEDULED FOR 5 Z
30-MIN HEADS UP? PHONE