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Dee 102 05 10:23a CirOf Stockton Fleet 20993' 14 P. 1 <br /> nue au cuuu a:Jam . �..nacRJc a aauu r+.a. <br /> EMIIR AL HEALTH PAGE 01 <br /> 12/61/2005 15:30 4540136 <br /> U N6P16®PROQRAn C®NsOL10ATE0 FORM <br /> SAN JOAQUIN COUNTY UNIFIEO PROD -TANKS <br /> UNOERGROUNO STORAGE TANKS-INSTALLATION <br /> CERTIFICATE OF COMPLIANCE Pag®Paw prrkl <br /> Pr <br /> • ,, y �••.��;;• <':..::.';'�.i�'Acnirx�,�rrll=tcatio�r.-:; .... ... ,. .. . ..... . .. , • . , . . <br /> i' <br /> per+;;i WAmP�• •QaNauY�aaAe) <br /> 'wwt <br /> [a4 MordM/Mp <br /> I O® <br /> it,INSTALLATION <br /> /ta+sdr®Mwa•patyl <br /> C1 The installer has been trained and certdied by the tank and piping manufaCtUr0s. <br /> The 1nslallation has been inspected and certified by a g9jrtered professional engineer havinti educStlon and <br /> ® tante instRU81I <br /> expsnence with underground st <br /> 0 The krststlstion hos been Inspected end approved by the Unlfled Program Agency <br /> p NI work Inked on the manufecfurets in tion ahec"k1'rst has been completed <br /> p The III has been certified of licensed by the Contactors'Stals Utenet Board. <br /> tank.an ptimaN Piping,en0 secondary <br /> contatrxnene was Installed according M <br /> The underground 3111 Y procedures. Description of <br /> ® le voluntwy consensus standards and written flranufsavrer s instaUatbn <br /> ®Ppt� <br /> work being d: <br /> I <br /> I <br /> I <br /> i <br /> I <br /> 111.TANK OWNEMAGENT SIGNATURE <br /> rd.eartwVia. ro <br /> ow• •.2. <br /> c <br /> 1 n ortuaaow�a <br /> i <br /> svyKuu ram,C <br />