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fi <br /> Afforda-Te$t - Work Order Date <br /> 416 2nd Street Galt,Ca 95632 <br /> Tech: <br /> 209 744-0112 <br /> Site: �f�({ Monitor E Vpr Recovery ❑ Tanks/Lines <br /> Alarm Response/Lbr/Other <br /> ❑ Testing/Rprs Passed ❑ No Parts Needed Parts Replaced: Parts Needed: <br /> 1 <br /> ❑ Repairs Needed: A -f <br /> 7 <br /> Lid Bolts: OK 0 #Missing or Stripped 0 <br /> 1 <br /> Site Representative(print): <br /> Results sent upon receipt of payment. Most regulatory agencies require <br /> results within 30 dAys of testing. Please plan your payment accordingly. Site Representative Signature: <br /> s are done by others. <br /> *Any issues within a few days of testing could be related to this testing,so site must call us BEFORE maintenance repair <br /> 1 <br />