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UNDERGROUND�FUEL AND CHEMICAL STORAGE SYSTEMS
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CONTACT PERSON IW A PHONE NUMBER 72 6
LOCATION OF TANKS:. CAPACITY: .TYPE OF FUEL. AGE: TYPE: LEAK
OR CHEMICAL: DETECTION
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DATE 0
DATE OF FIRE DEPARTMENT PERMIT:
TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS
PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD.