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From:Belshire Environment Fax:(949)460-5210 To: 12094683433@,cf8x.cc Fax: +12094683433 Page 2 of 2 10729201512:59 PM <br /> be/shire <br /> environmental services, Inc. QC��I,/C� <br /> 25971 Towne Centre Drive RECEIVED <br /> G <br /> Foothill Ranch,CA 92610 <br /> Office:(949)460-5200 CCT 2 9 236Fax: (949)460-5210 <br /> www.belshire.com <br /> NFAI TY rlcoaOT1ACWT <br /> AGENCY NOTIFICATION <br /> Notification Date: 10/29!2015 <br /> Test Type: Secondary Containment Test <br /> Test DatelTime: 11/162015 7:00 AM <br /> Site: Costco Vuholesale-TRACY-0658 <br /> COSTCO 0658 <br /> 3250 W. Grantline Rd <br /> Tracy CA 95377 <br /> Agency Name: San Joaquin County CUPA <br /> Agency Contact: UST Inspectors <br /> Via: FAX <br /> Comments: <br /> SB989 6 Month Test on the followong components: <br /> Secondary Line: 87A <br /> UDC's: 12 and 5/6 <br /> Per permit SR0071768 <br /> Belshire Contact:Shawna Chambers <br /> (949)4605200 C LOQ <br /> Reference: 15343 �� <br />