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Hazardous Waste Tank System January <br /> Written Assessment per CCR Title 22 <br /> Lube Zone 24511 Hwy 99 Acampo, CA 95220 2020 <br /> Pressure Test Report <br /> .1'.,i n k 'TPsti ng Report Form <br /> -h'a=arm I€imeeded to be used by amtroaomfor tcsthg pf abovrEmgrd tali Fwm 6a repot rcwhifar all <br /> crxnponcntstcacd.ThecOmpktcd F;rm�wffWcrhtrotproudKaSind prirhWutifrdm legilyd sgpacalik)5h6uld be V tided to the feeblyapeaty Upon <br /> r+gwi7. <br /> 1.FACILITY INFORMAWN <br /> Fad Illy Name: {, <br /> Facility Address= a Y 17 If I A CIVOA20 <br /> Facility nt8 ; <br /> Date; <br /> 2.TESTING/CONTRACTOR INFORMATION <br /> CompanyName: Air <br /> echnidan Cor.ducting7e5t: 'rj f <br /> Manufacturer: <br /> Components: q Y <br /> ISUMMAIZY OF TEST RESULTS <br /> Component PaS." Fail a Repai <br /> alis Cornponeet Pass Fail Made <br /> D <br /> Strandberg Associates 1(866) 388-0404 john@strandbergassociates.com A-4 <br />