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Afforda-Te$t POB 36 26515 N. Sacramento Blvd. �( AnnualMomtorCertilieation <br /> Thornton, California 95686 <br /> 1(209)794-0102 (800)524-9087 FAX(209)794-0112 Annual Spill Bucket Test <br /> TEST DATE: L! —O TIME:t" 'Do <br /> For Osi,Uae ON <br /> SITE NAME: Oe V t &.fs' Job Time <br /> TVCMGCIAN NANM: Lyle D. Nlmmo <br /> OTTL 97-1143 Certify non# 06z, O/� <br /> Owner/O eratorName: M�gffz <br /> S'te Address, (9FJ a f-C#!� T&cA srONATURE: 8 <br /> � ncfYo '-pe 1 0 --- —�-- <br /> Phone: ( ) Env HealdlZZency: <br /> ITWENVIRONMR4 WEA-­ INSPECCORNAME: '7r-00 'P—v <br /> PERMIT/SERVICES Present 4 NotPresent <br /> Printout:Included <br /> MONITOR (make & Model): a,: /> �/,l� Printout:Giventoluspecto <br /> TANK ID: o Sz: a ID:Qvn - Sz: �- ID. ap Sz: ID-) ;y�e Sz: <br /> In-Tank Guaging Probe # J <br /> Annular Space or Vault Sensor# Xlflf 00 s l of-H <br /> Piping Sum / Trench Sensor # JC D of i70BJQ X D ®7i?CJpffi/C� °C �/pyaOF.t9D.Y1 '� aoof�B/d <br /> Fill Sump Sensor # <br /> Mechanical Line Lk Detector # )X' j V 14:x IV <br /> Electronic Line Lk Detector # <br /> Tank Overfill/High Lvl Sensor# <br /> Other (specify) *See Comments <br /> ID: y w Sz: ID;r10-�r tr/ Sz: ID: Sz: ID: <br /> In-TankGuaging Probe# a fltYt<t/ mayi <br /> Annular Space or Vault Sensor# "J406 h Aov6woob <br /> Piping Sum / ttetlsar# 7JDCD <br /> FillSum Sensor# <br /> Electronic Line Lk Detector# <br /> Tank vrfi HihLl n <br /> Other (specify) 'See Comments <br />