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S%F@#9r%AfMr AW§%W �'€ <br />i.'2533 COnnl@,DrlVe� _y�;q �� t& �� 3 t s� "Calff COntr. Ucense #502377 <br />�Sacrarnento, CA 95815 x # 59666 <br />(916) 925-2716 .� �i. <br />Data ,Chart��for. Tank System lightness T st �� „# r61 o <br />PLEASE PRINT <br />ANK t I L. ! • 1 •. 1. <br />MUZAE" <br />a��srs�sa <br />��. lephoft <br />Address a e. <br />Te Age, Sted/Ri-glass <br />�r <br />t: ads <br />ST RESULTS' <br />Tests were made on the above tank in accordance with test uees proseWo <br />on test charts wnh results as follows <br />°rg <br />' <br /># <br />1. OWNER tMrt❑ <br />P.0.BOX 466Hanfk <br />Ca. dv <br />a. <br />gym <br />. Huff <br />- sr..;wd,. '- <br />_TTenes) <br />.. .t ..., <br />New ,..✓n sm ., ..... ... cm.. a._. -s ..rY...... Represents" _ _ <br />_TOI$Ph" <br />.... <br />2�:OPERATOR' . _.. <br />Be o — <br />� 4 -5625 <br />or <br />Namea <br />Address <br />Teleph" <br />3. -REASON FOR�M,...�­­+ , _. <br />TEST <br />4. WHO REQUESTED <br />TE$T:ANO.WNEN <br />Hams-- ; <br />.. <br />Tltla fJompsnyorAaatebny„: <br />Date <br />ANK t I L. ! • 1 •. 1. <br />MUZAE" <br />a��srs�sa <br />��. lephoft <br />Address a e. <br />Te Age, Sted/Ri-glass <br />�r <br />t: ads <br />ST RESULTS' <br />Tests were made on the above tank in accordance with test uees proseWo <br />on test charts wnh results as follows <br />°rg <br />' <br /># <br />Tear leoLMkMo, <br />a <br />(s&414 13115(c <br />t <br />seaca,.�g0-1I2� . <br />careoceftn <br />3 Aph_ <br />or <br />s <br />12 `SENSOR 13 This is to certify that thea®' <br />CERTIFICATION <br />the National _Flre Protection <br />Pty_® <br />%n; I <br />z <br />toms were tosw on the dates) shown. ThosellIndlestot!as"'Tight ° most the criteria established by <br />tion Pamphlet 329 st �., <br />RIB th reaporoaib lity of Uroower e1d/m Operator Of thissystern folmmediatelyadAse State and bed auftrWm of any <br />knpiied hazard and the possbT4 of arty re polluflon to the emirenmeN as a reatdt of the b icated kBure of this <br />system. Heath and/or SACRAMENTO EQUIPMENT MAINTENANCE COMPANY INC. dose tom_ <br />;assume any responsibliity or cabli ty for any'loss of product to the environmern <br />® Tank Owner/Operator <br />101� <br />so” N0. Of Thor" <br />asnsor-. <br />a' L <br />Lee' (?e&oit, <br />(s&414 13115(c <br />seaca,.�g0-1I2� . <br />careoceftn <br />Pty_® <br />%n; I <br />z <br />toms were tosw on the dates) shown. ThosellIndlestot!as"'Tight ° most the criteria established by <br />tion Pamphlet 329 st �., <br />RIB th reaporoaib lity of Uroower e1d/m Operator Of thissystern folmmediatelyadAse State and bed auftrWm of any <br />knpiied hazard and the possbT4 of arty re polluflon to the emirenmeN as a reatdt of the b icated kBure of this <br />system. Heath and/or SACRAMENTO EQUIPMENT MAINTENANCE COMPANY INC. dose tom_ <br />;assume any responsibliity or cabli ty for any'loss of product to the environmern <br />® Tank Owner/Operator <br />101� <br />