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Residential Tank Decommissioning Report

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  2. This report is required to be completed by the current holder of an ICC UST Decommissioning Certificate who conducted or directly supervised the decommissioning work.

  3. Type of Decommissioning:

  4. If Abandoned, Specify Type of Inert Fill Material:

  5. Acknowlegement*

    In pressing the submit button, you agree that the information provided is accurate. Submission is in lieu of a signature.

  6. 2930 Wetmore Avenue Everett WA 98201- 7th Floor

    PH. (425) 257-8120 FAX (425) 257-8139

    www.everettfire.org

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  8. This field is not part of the form submission.