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E.Z. Ser ice Station M a*intenance, Inca <br />630 Houston Street • P.O. Box 933 <br />West Sacramento, California 95691 <br />Phone (916) 371-2380 • Fax (916) 371-2540 <br />11c. #433159 <br />Notice of Repairs <br />Test Given _` „r,;,, f ,r Date <br />County Agency 0 <br />Re: Site L ; ;) n o ,� <, Address ;,4 �� v c 4,) <br />System Failed on <br />Product �'j— Tank Fueling Pt Hangipg Hardware Vapor Vac <br />Other <br />Reason Failed r16 1 L 0 2 o Le !C c <br />Repairs / Pas r,� �3 -i l -�' <br />:� L <br />Product Tank _ Fueling Pt Hanging Hardware Vapor Vac <br />Other <br />Reason Failed <br />Repairs / Passed <br />Product Tank <br />Other <br />Reason Failed <br />Repairs / Passed _ <br />Fueling Pt Hanging Hardware <br />Vapor Vac <br />