Laserfiche WebLink
12/15/2009 14:42 FAX 916 371 2330 BZ SERVICE STATION 2001 <br /> r------- --------------*-------------------------- <br /> is-- ------------ <br /> 1 - <br /> , <br /> 8Z SERVICE STATION MAINTENANCE INC <br /> 1 <br /> I I <br /> 916-371-2380 FAX 916-371-2540 <br /> 1 1 <br /> 1 <br /> fax form back for onfir ation of a ointment <br /> C ! <br /> 1 f <br /> 1 M <br /> TERRI FOX bzss,l 0 attplobal.net <br /> I <br /> F f <br /> ! i <br /> MONITORING SYSTEM CERTIFICATION , <br /> 1 ! <br /> ! 1 <br /> ---------------------------------------------- ------------------------- <br /> Attn: <br /> Fax: � � � w .� <br /> ff rt' U <br /> Date: I <br /> DEC 15 2009 <br /> A test has been scheduled at the following location: <br /> Station Name: d �� <br /> 1 ' <br /> Station Address: V lG' � ( <br /> Testing will be conducted on l 0' �' beginning at --5, am pm. <br /> The following test will be conducted: <br /> • inventory of Equipment Tested/Certified <br /> • Line Leak Detectors <br /> • Vacuum/Pressure Monitoring(if applicable) <br /> • Spill Bucket Test <br /> Compliance Test Post Construction Permit# <br /> To confirm Date and Time,please indicate Inspector name below: <br /> If no inspector will be on site please check <br /> Please contact us immediately if you need to cancel or reschedule. <br /> \N� <br /> ,G 171 <br />