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JUN-25-2005 07 26 Service Station Systems 408 938 8888 ' P.02 <br /> . 1.M9 }•4 6.6dC.1../ iJ'—PRJ V eV1. Yl YM4YF1✓�ryy Per <br /> •Yr•. ®—t w�.® • •as•m <br /> monito <br /> ffication <br /> For Use By All dm WkAht ne Stak of Califarnia <br /> A COW.,Chq2ter 6.7.Health and Safety Code;Chapter 16, n 3, TYde 23,Citl brnia Code of Regdattons <br /> T3tia be used to rt testing and Qf em <br /> AMgrftgjEfifiggjM orMdg=bg <br /> camel pal by the to dmiaiau the A of dais f*=nawbe <br /> .w to tor: Ilia ownerlopoator mutat mtbmk a copy of 0*fam to the,local agcmy rqgulwing UST systm <br /> wit}uu 30 days of test date° <br /> A. Gewd 11!f tion <br /> Facility Nam:Traw Blvd Shelf B Mini Mad Bldg.No.: <br /> Sits • 3725 N.Tr&W Blvd.Q 1405 Zip: 96376 <br /> F Co atwt Phone No.: ( 835-7 <br /> b4skaModol of Moa&ring S . YtR$IMPIWIty rwe of Todngisomcing, 3=05 <br /> R. Iaveat of$q*mat TesteWCatffled <br /> awk ek swextoft ba3m t.kacaft s tns <br /> T -M' us <br /> +aa T I us F;bc. mtt <br /> a'Anuidw Spm or Vauk Scmwr. Moftk vaT=a1_ tar Spue or Vsulc Somr. M"W: Vammm <br /> eiNft BMW%7f mmh sawr(s). M • VR \ S. Model: VR <br /> ri S (sx Modeb VKM3w= SUMP smw(0). 1 Modch VP <br /> ® ied Ince Lwk Model: Nan trine Liesk D=Mr. Moft Nvw <br /> Lice tplod*. Vt wens r t.aek MUM t "Soft"" <br /> CI Tante Onot\ . l4ioc4, Nen. p Tank t] ftm\Si Ak-Ladd S . Model: <br /> � ( typeacd model� H�Aage 2j- p ( aqulptacnctyp6 aad model in Eon Fags Z}. <br /> Tft*W nae► Tak X$: <br /> YNSOMION -Tank Gaugissg rirabaVIR WN <br /> Ipm or Vault Seww. Model: tnt r Spw of Vmsit Bomar. Model: <br /> VR 7943*= <br /> OAViqg8=W\Tr h (s)• M*W: VR ;ng SOV o (A MOOL. " <br /> (a1• tl a"., Sump (a]• - - --- <br /> p 'eat rine rock ModcL Um Cd Litre Leak <br /> mm"weUm 1�atk r. MoOetc VR M4 a r. lVlodrl: VR <br /> p 'Gantt \H el . Model: Ngo � Ov \HWLavcl Samar. Model: Nana <br /> rOhw(q <br /> type mod is 8 on Page 21 0 ( type ami as a It an Pftc 2). <br /> ID: <br /> a teott s. <br /> Mve(s). VateiO(s). <br /> Floes(s)aYtd gain(a). pDbomw e conmimot (SD DW <br /> j4MMONUbmam Mad(s) Ckaea(s),s(s). VFloat(s)end (sl 1 ' Host(s)and t,l 0 (a). <br /> . MM Canto or ' aOpy its I !br eva=y tank tinct dispbteilt et tltc <br /> C.Cavi — i tmW doe MID 140OW90d It nt was lespectuftrAnd in acenduft whk me <br /> wa.fmnnel pMdw AawbW m CNOMOM is 109rma (ptr n*' )asomIrY to OW ddt <br /> k ar"O amt a Plot PLO skowfg the byeat Ot g For A"84OPT <br /> pf CRPAIO of pamung <br /> I larw Am i0sabed a aW of the; ld Wk dff ). <br /> TedMid=N )-USAmdyWSi <br /> tioY►No.: - S' I.iC No.. 485184 <br /> a ph= <br /> No.: ( )971 - - <br /> NO Addmw 3725 N. ON d.@ Of Tesdug/sea icing: <br />