Laserfiche WebLink
AFFORDA® <br />416 2nd Street Galt CA 95632Spill <br />(209) 744-0112 (209) 744-0116 FAX <br />"est Report <br />TEST DATE -- -- <br />SITE NAME SR di <br />Oc ` <br />PHONE <br />ADDRESS 7 d o0 ' f <br />04? "i e r <br />CONTACT: <br />Inspector: , (a �p <br />Present / Not Present <br />SPELL3. BUCKET <br />Test Water: 0 Taken with tester ❑ Left on site <br />I hereby certify that all the information contained in this report is true, <br />accurate, and in full compliance with legal requirements. Technician*' Lyle D. Nimmo <br />ICC #: 5249115 -UT <br />Signature: f"', ' Plx OTTL #: 97-1143 <br />