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ALLTECH PETROLEUM SERVICES <br /> 17759 Buttercup Circle, Sonora, CA 95370 <br /> (209) 532-7320 Fax (209) 533-2650 <br /> California Tank Faster: 1068 California Contractor: A 623541 <br /> UST MONITORING SYSTEM TEST DATA SHEET <br /> Facility MAD SOJ IS SUAr�,136� W w er 13 a $ M Ap,5 Date ZJ17191 <br /> Address 23y Go , STdcX-n#4 Sr Address %I <br /> City RIO A CA 95'39-9 City CA s� <br /> Annular prolie5: <br /> Product Visible sin ofproduct? Probe operational? <br /> 1 �4.►� N D `��� <br /> 2 <br /> 3 <br /> 14 <br /> Pi ind -mnip probes; <br /> Product Product in sump? Probe operational? Positive shutoff? <br /> 1 NONIVc_"RON — 5 It1.1614T V0 5 Ll STum <br /> 2 <br /> 3 <br /> 4 <br /> Dispenser srirn robes: <br /> Product Product in sump? Probe operational? Positive Shutoff? <br /> 1 S L)t- N 4 FS <br /> 2 <br /> 3 DP N Q E-S tJ O <br /> 4 <br /> S <br /> b <br /> Overfill alanvi: (Ty11e: batt ,OPW /v"— Other: (Specify: IJ (5 AJ e <br /> Product C1 erational? Product Operational? <br /> 1 WL 7 1 <br /> 2 UL ? 2 <br /> 3 DF ? 3 <br /> 4 14 <br /> Remarks: <br /> Tank Test Technician: �Nlil,,e Dotten, License # 1068 Rte.olo,% <br />