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mm-dxO <br />lin or W StOLI a rel <br />�_ � I I '% f r� mgr[ ornj <br />TYPE ❑F AG-ILi�t Installation Re pair 1712 Mbn_ti� <br />AT <br />gERS ID <br />10181439 <br />Test Date <br />04/29/2022 <br />i= aGi ii Nance <br />AG Spanos <br />Facility Address <br />4800 S. Airport Wav <br />Citv <br />Stockton <br />ZIP Code <br />95206 <br />2, 5ERIIICE T--_ <br />Company Perfa_rmina the Test <br />Elite IV Contractors <br />Phone <br />(209) 461-6337 <br />MailingAd dres_s <br />2535 Wigwam Drive Cl/i ct <br />Service Technician Perfarrnin Test <br />Adrian Rodriguez <br />Contactor/Tank Tester License umber <br />Elite IV Contractors 1001331 <br />ICC Number ICC, xr3iration Date <br />4593 1 <br />04/27/2023 <br />3. �AJNING AND CERTIFICATIONS <br />Manufacturer acrd Tesf E u Ment Traini Certifications <br />OPW EVR UST #192139 <br />Ex irafion Date <br />05/19/2023 <br />r4—,jTEST PROCEDURE INFQRMATIDiH <br />Test Procedures Used <br />Corr onents Tested <br />Manufacturer <br />Spill Container <br />5. CERT[FIG,4T1ON taY SERV G TECHNjgIAN COI�6DUQIING TE8-T_ <br />Lh-refaertifv that teach sill cin r...ias tested in accoranc w" 1 lifor �Ie ref <br />jLg <br />1q r 6 Q.�_�agn��_3% urr�'d su_ f !ii <br />©GUJnje ! ttaci'7B(i' t__ r? 1n Orli7aflOti Cp er rate, tTder§jq L� <br />e h_ . _. i . ! 1 �vernlna h r' !. <br />Service Technici r nature ❑etc Tata! #_af Pages <br />— 05/02/2022 2 <br />CER_S = Cafiforniar Kira ental_Re ortin 5stem. ID =Identification, ICG _intern afianal�ode <br />Gauncil <br />P ag-19f 2 <br />