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Safeway Inc. Site#: Safeway#1769 (3yr. Compliance Test) <br /> Site Test Log Form Address: 2808 Country Club Blvd. <br /> Testing Contractor: Able Maintenance City: Stockton, CA 95204 <br /> Under Dispenser Containment Technician: James Moore Date: 5/24/05 <br /> Under Dispenser (#) Description (Manufacturer, Specs) Condition (Repair Notes) <br /> 1 & 2 WESTERN FIBERGLASS <br /> Test Time (HH:MM) Test Results <br /> Start/ Finish Pass/ Fail Test Notes <br /> 12:32 - 12:44PM PASS Start Level: 10.91699 <br /> End Level: 10.91776 <br /> I I <br /> Under Dispenser (#) Description (Manufacturer, Specs) Condition (Repair Notes) <br /> r <br /> 3 & 4 WESTERN FIBERGLASS <br /> Test Time (HH:MM) Test Results <br /> Start/ Finish Pass / Fail Test Notes <br /> 1:29 - 1:41 PM PASS Start Level: 13.87052 <br /> End Level: 13.87044 <br /> ;,qe. <br /> 104 2808 Country Club Blvd 27W33 3yr_ Dispenser Containment <br />