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Facility Name: Two Guys Food & Fuel Date of Testing: 11/4/04 <br />Facility Address: 147 E Ladvop Rd LathrW, Ca <br />Facility Contact: Greg Phone- 209-858-2666 <br />Date Local Agency Was Notified of Testing: 10/26/04 <br />Name of Local Agency Inspector (1fpresent dwing testing): <br />v �4 <br />Company Name: Champion Precision Testing, Inc. <br />Technician Conducting Test: Ed Steams <br />C_ <br />redentials: X CSLB Licensed Contractor 0 SV*7RCB Licensed Tank Tester <br />License Number: 858150 <br />I— —— — � 1 u 1 1 ���� <br />1' +` <br />1 1' I�i 1 c, 1 r r� 1 � ��®^ <br />1� <br />hi <br />mum <br />no==' <br />MMM <br />MM= <br />-Mow <br />MMMM <br />000 <br />��a <br />oo <br />mom <br />MN=M <br />MM <br />MMMM <br />mom <br />00000�r�oo� <br />MT Kii sir -wilt <br />I ZYK# I ) ,t <br />Technician's Signature: Date: 11/4/04 <br />