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O. Box 42 8 <br /> Ar 13 P. 0 <br /> ch <br /> 11te <br /> �; F Sonora CA 95370 <br /> �1 t m �4` Ca; 623541 A-Naz <br /> Compliance without Compromise Phone: 209-532 7320 <br /> Fax: 209-533-2650 <br /> mail@a Iltechpetro.com <br /> Work Order VVWW'aIItech petro.COM <br /> FSite <br /> ame: Costco #1091 Lodi Contracted Testing Company: Alltech Petro, Inc. <br /> ddress: 2955 N. Tegnar Rd.. Technician: Isaac Anderson <br /> City: Lodi, Ca Arrival Time: 7:00 pm <br /> Date/Time of Test: 04/13/20 Z'p <br /> Departure Time: 10:00 pm <br /> Testing Information <br /> Scope of Work: Perform UST System PM Service 04/13/20 <br /> Tasks Completed: Perform UST System PM Service 04/13/20 <br /> Tasks Needing a Return Visit: None <br /> Notes on the work completed <br /> Performed inspection on facility to verify functionality of sensors, check fire extinguishers and verify <br /> m�functionaiity of spill buckets. <br /> No concerns present at facility. <br /> I <br /> Signature of Technician <br />