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A LTECH PETROLEUM SERVICES <br /> 17759 Buttercup Ci,,I,, Sonora, CA 95370 <br /> (209) 532-7320 Fax (209) 533-2650 <br /> Ca Ii(ornia Tan:Tester; 1068 CaIifornia Contractor: A 6235p ECE I VE D <br /> UST MONrTORrNG SYSTEM TEST I3ATAvv��B 2 8 1Q�� <br /> F'M AE HEALTH <br /> Facility �.jup�,,� ,�Ssp c . � PERMWSERVICES <br /> vvner to Date ,7 -17``lj <br /> Address &173- €, L.6 Address If <br /> City cr�rn�-�v CA q y--zY6 City do CA <br /> Annular prohes.. <br /> Product Visible sign o{ product? Probe operational? <br /> I © /lJ 0 <br /> 2S <br /> 3 <br /> Pi in ' -7-111111" goes: <br /> Product. Product in stun ? Probe o erational? Positive shutoff? <br /> 1 V'L <br /> til0Ne7 p Sv M 10 - Ju -r-7 <br /> ,QF N D <br /> 3 <br /> his enser suing iarobes: <br /> Product Product in sum ? Probe o erational? Positive Shutoff? <br /> 3 Le 5 nra <br /> 4 <br /> b <br /> overfill alarm: (Type: 'BAu.C-LO A7r } otlxer: (Specify: <br /> PrOd uc t } <br /> ierational? Product Q erational? <br /> I I <br /> 2 2 <br /> 3 3 <br /> [-4 — 4 <br /> Remarks: <br /> f <br /> Tank Test Technician- M; <br /> Rotten, License # 1068 <br />