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Apr. 4. 2005 1 : 01PM W st Star Environmental, Inc. No. 2493 P. 1/1 <br /> McMnrR /\ MEMnrn <br /> 3PE <br /> e* MMRWE 'STAR <br /> R <br /> ..EN T pp``■`■` ■` 'amu <br /> ■ A`l■ ■ <br /> SALES' UC770K-SERVICE <br /> $W.JEn k SrE 107.,FREiNO,CA.93722 <br /> (559)2 378/ 559)277-0106 <br /> 2 <br /> INSPECTION E EST <br /> NOTE:INSPECTOR,To CONFIRM TEST PLEASE INITIAL AT BOTTOM OF PAGE AND PAX T01(559)277-0106 <br /> Date: O� Fax Numb: 909— L466 <br /> Attn: �c Conf.#: <br /> Facility Details <br /> Permit# <br /> Facility Name: <br /> Facility Address: _ ®S ►,� <br /> City/StatelZip ,OCk 03 3�� <br /> Telephone: --7—Q-ck l&g !x,41© Fax: <br /> Contact Name: —Title: - — <br /> Schedule Type: _ �`+ Facility Start-up Cancellation <br /> Routine Compliance Annual Monitoring <br /> Retest Cathodic Protection(if applicable) <br /> Reschedule <br /> Testing pang Details <br /> Testing Company Name: WSE <br /> Testing Company Address: 4688W JENNIFER#101 <br /> Car FRESNO,CA Trp: 93722 <br /> Telephone: 559-277-9378 Fax 559-277-0106 _ <br /> Tester's Name(Print): Tester's ID#: <br /> Requested By: Susan Romanoff Test Time: a:-1 <br /> 24 Hour Test Results <br /> Test Test Scheduled Pass Fail <br /> Annual Monitorin <br /> Csthodic Proteiation <br /> Drop Tube/Torque Tightness �+ <br /> LINE TEST Pressure Une Test <br /> L,LD Mechanical Line Leak Test <br /> SB989 Test <br /> S ill Buckets nly <br /> UST lnteqrfty Ti htness Test <br /> Comments: <br /> h <br /> pate Received: _ . Inspector acknowledgement: <br /> PLEASE CONFIRM DATE AND TIME AND FAX BACK ATTN_SUSAN <br /> THANK YOUI <br />