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Afforda-Te$t - Work Order at <br /> 416 2nd Street Galt,Ca 95632 ech: <br /> 209 744-0112 <br /> Site: Monitor ❑ Vpr Recovery Tanks/Lines F-1 <br /> Alarm Response/Lbr/Other • <br /> ❑ Testing/Rprs Passed ❑ No Parts Needed Parts Replaced: Parts Needed: <br /> ,q r <br /> ❑ Repairs Needed: -` � " `xAl <br /> R� <br /> L <br /> _ ^ r <br /> Lid Bolts: OK CI # rssing or Stripped <br /> t,Gt <br /> VIL Site Representative(print): <br /> Results sent upon receipt of payment. Most regulatory agencies require -- <br /> results within 30 days of testing. Please plan your payment accordingly. Site Represents ' nature: r , • <br /> 'Any issues within a few days of testing could be related to this testing,so site must call us BEFORE maintenance repairs are done by others. <br />