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FROM :Dialysis North FRX NO. :530 243 2036 Dec.05 2007 02:24PN P1 40' <br /> P.O-Box 994434 <br /> Redding,CA 96099 <br /> L�JL�1(n����11 i�JUi=J Bus:530.229.1906 <br /> Fax:530.243.2306 <br /> Test Notification for Environmental Health <br /> To: San Joaquin Env, Health Fax No.: 209-468-3433 <br /> Attn: Willie Ng <br /> Re: Station Name: Tracy Petro <br /> Address: 3400 N. Mac Arthur,Tracy <br /> Permit No.- <br /> Frequency. ®Annual ❑Triennial ❑ Retest ❑ Other <br /> Test Date: Wed, 112/06 Time of Test: I lam <br /> Cancellation: ❑ Reschedule Date/Time: <br /> Testing Company: Dialysis North Contact Person: Sheila Brawn <br /> - Phone No.: 530-229-1906 Email: dialysisnorth(aQearthlink.net <br /> TEST($)TO BE CONDUCTED: <br /> ® Monitoring Certification <br /> Spill/FII/Vapor Buckets <br /> ® Leak Detectors <br /> [] Line Testing <br /> ® Secondary Containment Testing <br /> ❑ Underground Tank Testing <br /> ❑ Other: <br /> Comments: If there is anything else that you may need at this time please let me know <br /> If you've received this fax In error,please contact Sheila 6i 530-Z231906 <br /> Submitted by., Denise Rogers Date: 12/5/2007 <br /> L°4"� <br /> %T r$ <br />