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From: Belshire Environment Fax: (949) 460.5210 To: 12094683433@tcfax.cc Fax: +12094683433 •Page <br />-belshiire <br />environmental services, inc. <br />25971 Towne Centre Drive <br />Foothill Ranch, CA 92610 <br />Office: (949) 460-5200 <br />Fax: (949) 460-5210 <br />www.belshire.ccam <br />of 2 08J2512014 8:43 <br />RECEIVED <br />AUG 2 5 2014 <br />:ALTH <br />ENVIRONMENTAL H <br />AGENCY NOTIFICATION <br />DEPARTMENT <br />Notification Date: <br />8/25/2014 <br />Test Type: <br />Test Date/Time: <br />8/29/2014 9:00 AM <br />Site: <br />Manteca Medical Center <br />KAISER MANTECA_MC <br />1777 W. Yosemite Avenue <br />Manteca CA 95336 <br />Agency Name: <br />San Joaquin County <br />Agency Contact: <br />UST Inspectors <br />Via: <br />FAX <br />Comments: <br />Monitoring System <br />Cert for permit# SR0070304 <br />Gtil' <br />Belshire Contact: Shawna Chambers <br />(949) 460-5200 <br />Reference: 13598 <br />:ALTH <br />