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Attach laboratory analytical results including completed chain of custody form s as Appendix 3. FIELD DATE DEPTH OF ETHYLTEH TEH SAMPLE I. Iowa Department of Natural Resources Underground Storage Tank Section 502 East 9th Street Des Moines IA 50319-0034 UST Closure Report Tank and Piping Removal UST REGISTRATION LUST IF APPLICABLE Site Name Site Address City Zip Contact Person Phone OWNER IDENTIFICATION Name Company Street E-mail State IOWA LICENSED REMOVER Iowa Licensed Remover No Date...
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