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t Tanknology OCT 16 2017 <br /> 7-Eleven Test Water Log <br /> 2332615 ENVIRONMENTAL HEA TH <br /> Work Order: 7-ELEVEN#17334 MKT 2365 fN-7471 Date: 10/3/2017 DEPARTMENT <br /> Site Name/ID: <br /> Address: 4501 N. PERSHING AVE. @ ROSEMARIE <br /> N. <br /> City: LSTOCKTON State: CA Zip: 95207 <br /> Work Performed: ATG, E-Stop, Impv, LDs,SB's <br /> r Yes <br /> Was Test Water left on site? r Test Fluid Transported Off Site by Tanknology <br /> 7 Transported off Site by Other Company <br /> r No Water used <br /> If yes describe how much water and how contained?10 gallons by tanknology in 5 gasllon hime depot <br /> buckets <br /> If Yes who and when did you contact from site to report the water? <br /> If Transported Off Site by Tanknology how much was hauled? <br /> If Transported Off Site by Other Company what company and how much water? <br /> Technician Signature: Date: 10/3/2017 <br /> W0:2332615 <br />