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Apr- 13-01 11 : 40A CHA*ON TANK TESTING 9167 7345 P . 02 <br /> ���I IIII Champion P.O. Box 13059 <br /> Sacramento, CA 95813-3059 <br /> IPrecislorr Tank Teating CA 800-660-9443 <br /> ucarne No. 73848 <br /> NEV 800.949-9443 <br /> l"1. C71 (916) 927.1557 - <br /> Date: // Fix.: (9261927-7345 <br /> Operator C1�, t ll�b�a2u� <br /> Location: 1 =4i,QQ U-; i <br /> RECORD OF EXTRA WORK <br /> Directions: <br /> Description of work -y <br /> Work Completed: yes�%V No o <br /> Comments <br /> L t i S r'?s Li. is t.17e . : , `;,, r."•' _ ��'. 1r�.'^' L.r � ti ys"t 6 t'» ;rte <br /> � rlly iIG • 05L, ''-Oc_ i '�_ ; ',i,i:.: <br /> Nyaxw . Qu E,ietc <br /> Signature of Technician Work Authorized by Client I <br /> (or)Company Representative <br />