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Apr. 6. 2005 3:24PM West Star Environmental, Inc. No, 2652 P. 1/1 <br /> mrmeen * / \ NEMern <br /> 0 <br /> MR, tFE[p <br /> WES 'STAR <br /> ENft- @NMENTAL,INC. <br /> SALES RUCTION-SERVICE <br /> 46M W.3Em SU 101,FK660,CA.93722 <br /> (559)f:Z3798 2 <br /> 77-0106 <br /> '�-N? <br /> INSPECTION REQUEST <br /> NOTE,INSPECTOR,To CONFIRM TEST PLEASE INITIAL AT BOTTOM OF PAGE AND FAX To(ssg)277-GjLO6 <br /> Date: (A Fax Number: <br /> Attn: Conf. #: <br /> Fadiity <br /> oniFadfty Detaffis <br /> Permit# <br /> Facility Name: <br /> Facility Address; <br /> City/$tateOp <br /> Tele-phone, 1 vs4qt'. Fax: <br /> Contact Name. Talc: <br /> Schedule Type: Facility Start-up Cancellation <br /> Routine Compliance Annual Monitoring <br /> Reschedule Cathodic Protection(if applicable) <br /> Testing Company <br /> Testing Company Name: WSE <br /> Testing Company Address: 4688 W JENNIFER 9101 <br /> City. FRESNO,CA - <br /> Z10 <br /> I - <br /> Telephone, 558-277-9378 Fax: 559-277-0106 93722 <br /> Testers Name(Print): Testers ID#: — <br /> Requested By: Susan Romanoff —Test Time, A Adf f It <br /> Z4 Hour Test Results <br /> Test Test Scheduted Pass Tall 9 <br /> Annual Monitorina <br /> Cathodic Protection <br /> Drop Tube/Torque Tightness ra <br /> LINE TEST Pressure line—Test <br /> MLLD Mechanical Una Leak Test <br /> 09-89 Test <br /> aEckets Only <br /> LIST Integrity Tightness Test <br /> Comments: <br /> Date Received: Inspector acknowledgement: <br /> PLEASE CONFIRM DATE AND TIME AND FAX BACK ATTN.-SUSAN <br /> THANK YOU1 <br />