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Facility Number: <br />N-10035 <br />Permit Number: <br />atc n-10035-1-0 <br />Facility Name: <br />MOUNTAIN HOUSE CHEVRON <br />Address: <br />CORNER OF INTERNATIONAL <br />AND DAYLIGHT RD <br />City: <br />TRACY <br />Date of Test: <br />12/8/2022 <br />Time of Test: <br />09:OOAM <br />Category of Test(s): <br />Pre -Backfill Inspection <br />Testing Company: <br />Town and Country Contractors <br />Testing Company Phone: <br />916-636-9500 <br />Your Name: <br />Latham Zubillaga <br />Your Phone Number: 916-997-4528 <br />Your Email Address: lathamAtccontractors.com <br />Remote Name: <br />166.216.158.18 <br />Remote User: <br />Mozilla/5.0 (Windows NT 10.0; <br />HTTP User Agent: <br />Win64; x64) AppleWebKit/537.36 <br />(KHTML, like Gecko) <br />Chrome/ 108.0.0.0 Safari/537.36 <br />Spoke with Adam M., He stated he <br />Notes / Comments: <br />would be able to preform this <br />inspection. Thanks <br />Date / Time: <br />Tuesday, December 6, 2022 5:14 PM <br />Thank you for your attention and assistance in this matter. <br />Latham <br />Sent from Mail for Windows <br />