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/p� 0 <br />AFF <br />®RDA --TE T 416 2nd Street Galt <br />f SITE NAMEI r�I <br />ADDRESS r r <br />(209) 744-0112/A 95632 �`� <br />(209) 744.0116 FAXpi�� ��eket <br />LAI <br />�: r 915 O <br />3. SPILL BU`:ItT TEST <br />HYdxo�tatic . IlVV � ���BIvIATIOIv <br />Test Water: ETaken with tester ELeft on site <br />hereby certify that all the information contained in this report is true, <br />ccurate, and in full compliance with legal requirements. <br />Technician; <br />ICC #: <br />signature: <br />_,. OTTL #: <br />Zest Report <br />TEST DATE <br />PHONE i . <br />3ra� - 363 <br />cONTACr: <br />Present Y/ Not Present <br />Zane A. Nimmo <br />5263322 -UT <br />04-1676 <br />