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Acknowledgement of Gas Tank Removal (signed) - 85-104 Alawa Pl, Waianae, HI 96792.pdf

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Removal of Tank Date: 08/01/2025 I Earl V. Co (homeowner) authorizes Hawaii Gas to remove the Gas Tank at Full Name the following premise location 85-104 Alawa Pl, Waianae, HI 96792 Please initial the following request: X Address I Will be returning to gas I authorize Hawaii Gas to complete the above request. I understand by choosing to remove the gas tank from my property I will be returning to gas. I understand if the tank is to be relocated I may be responsible the associated fees and cost as

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Removal of Tank

Date: 08/01/2025

I

Earl V. Co

(homeowner) authorizes Hawaii Gas to remove the Gas Tank at

Full Name
the following premise location

85-104 Alawa Pl, Waianae, HI 96792

Please initial the following request:

X

Address

I Will be returning to gas

I authorize Hawaii Gas to complete the above request. I understand by choosing to remove the gas tank
from my property I will be returning to gas. I understand if the tank is to be relocated I may be
responsible the associated fees and cost as deemed by the sales representative following a site visit.
I Will NOT be returning to gas
I authorize Hawaii Gas to complete the above request. I understand by choosing to remove the tank
from my property I will be responsible for all associated fees and cost if I choose to reinstall the tank at a
later date.

By signing this form I agree to the above

Earl V. Co
Print Name

For Office Use Only

Signature

08/01/2025
Date

Date:
Gas Account Number:
Account Name:

1

Customer Service Rep:

Additional Information:
Point of Contact for Scheduling Removal:

Earl Co
518-588-4428
Phone Number: _____________________________________
alawaplace@gmail.com
Email Address: ______________________________________
August 20, 2025
Requested Removal Date: _____________________________
Name: ____________________________________________

* Please note once we receive the request it may take up to 6-8 weeks from the date of receiving your
request to schedule the meter/line removal*

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