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11/15/96 15:45 NO.753 P02 <br /> ARCO PRODUCTS COIEPALNy' <br /> FACILITY INSPECTION PROGRAM WORK ACXjN0WT,EbGMF_NT �- <br /> SCOTT CO. OF CALIFORNIA DATE: h— _96 <br /> 1717 DOOLITTLE DRIVE — AUTH-: <br /> SAN LEANDRO, CA 94577 r .,N1.X TRANS <br /> 510/895-2333, EXTENSION 385 FACILITY: <br /> LOCATION <br /> ��! 2:- c <br /> SERVICE REQUESTED(CHECK) ACd 9 <br /> TANX/ZIN'E T10HTiliE5S TEST FACIL 11-Y 11SPECTION <br /> VAPOR RECOVERY TEST EN VIRML'NTAL RE?AIRS <br /> OTHER <br /> SERVICES ?EFFORMED(REPAIRS ONZY) <br /> Nv'tcER OF PERSONNNEL 1 TO T�.L T,'vC: I.-LESS NI£AL TI'AE_ Z9-" <br /> K TN <br /> ARRIVALS AS OF CHI CK.N: �� ,30 .SNI <br /> PRINTED NAME OF DEALER <br /> OR STORE )EMPLOYEE: L r� (�S`+► DATE: 10-Z6-j�- <br /> T <br /> I SIGNATURE OF DEALER <br /> OR STORE EMPLOYEE: <br /> t I <br /> I CHECK OBIT I <br /> DEPARTU—RES AS OF CHECK OU1 3 .30 <br /> �PR.[;NTED LAME 0�=DwALER n <br /> OR STORE EtiiPI_OYEE: 4w3� DATE: <br /> S!GN '% 7jR.E OF DEALT I- �J <br /> OR STOU ENIPLOYEE: __— <br /> I <br /> 51GNaTl.'RE OF DEALF-R(OR STORE}La.ACti; LOSS NOT OBLIGATE DEALER TN ANYWAY.NOR DOES IT <br /> SIG.NIFY ANY APPRO`'AL OF% ORK DONE. CO',~"naCTOR:J TwSPONSIBLE FOR FILLING OU-T'T141S FORM <br /> AND 057AINTNG SIGNATLRE. <br /> /_ Z/ `Jr� <br />