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FEB-26-2016 07:01 From: To:120946e3433 Page:1�1 <br /> LIVED <br /> _ FEB 2 5 2016 <br /> P4{" Suit loaquin.Coun <br /> Evlwonmental Health,Depa 'ENVIRONMENTAL <br /> I-rU1868 E:,Hazeltan`Ave.'Sbo ktori Ca95205.' n�pARr��c6JT <br /> �. ..::STAC•Y•RIVERA;.R£HS'. <br /> +-':Senior Registeted Faivlronmenal Healtfi Speci�Iis1T_: — <br /> Small:srivera@sjcehdcom M1 ". (209)'468-344D <br /> 'E:HD website:http://www.'sjgbv org/0' NX(209)468-3433 <br /> r..,,.p,.., .;m:�..^;y;;--�,.;,ms's:"„ ,,,A_;:='•:,:.J ,,-,,. <br /> r. <br /> - <br /> Oil <br /> Afforda-Te$t - Work Order Date '/- <br /> 416 2nd Street Galt,Ca 95632' Tech: r , <br /> 209 7 4-o11z <br /> Aewjt Monitor 0 Vpr Recovery [� Tank <br /> .ines <br /> Alarm Response/Lin/Gther <br /> Testing/Rprs Passed No Parts Needed Parts Replaced: Parts Needcd: <br /> Repairs Nei � E <br /> `wT <br /> I — <br /> fi t � { <br /> i Lid Bolts: OK pJ #Missing or Stripped 0 <br /> f ! Site Representative(prart): IF j Qn f� <br /> Results sent upon receipt ofpayment- Most rf-V1at0iy agencies require C <br /> results within 30 days of testing, Please plan your payment accordingly. Site ReproscnEAtive Signat<�re. <br /> *Any issues within a few days of testing could be related to this testing,so-site-must callus BEFORE maint=anee repairs are done by othcrs. <br />