UST Closure Inspection Report (3 Tanks)
UNDERGROUND TANK SYSTEM CLOSURE INSPECTION REPORT
For Use By All Jurisdictions Within the County of Santa Clara
| | | |
Facility Name: ________________________________________________________________________ Bldg. No.: ____________
Address: _____________________________________________ City: ____________________________ Zip: ________________
Project Contact: __________________________________________________ Phone No.:(________)_____________________
|Tank ID No. | | | |
|Size | | | |
|Construction Material | | | |
|Single/Double Wall | | | |
|Backfill Type | | | |
|Oxygen ................
................
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