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Jul 18 02 08: 37a Elite iv Contractors Inc 2094131A342 p. 3 <br /> Elite 1V Contractors Phone: (209) 461-6337 <br /> 2535 Wigwam Dr. Fax: (209) 461-6342 <br /> Stockton, CA. 95205 P.O.#/ Work Order# <br /> U PLACE IN SERVICE NOTICE NOTICE OF SALE,LEASE,LOAN <br /> t ounty/ Date c/ Service Agency Registration No. <br /> �,E. /I� /A b 2278 <br /> J <br /> LOCATION OF DEVICE <br /> NarrKof Cjuspmer ' t Address C' Zip <br /> 1 V <br /> INTIGIIING OR MEASURING D VICES PLACED IN SERVICE <br /> Cert of Con£No. Out of Order Device <br /> Manufacturer Model Number Serial Number Device Type (if device is new Capacity Tag Number Location <br /> and marked) <br /> Y' ra\ It`�/h IT1k i <br /> i 7 <br /> Tags enclosed if applicable Date placed in service <br /> Date this notice was: ❑ Mailed <br /> 0 yes ❑ No(if no explain in remarks) 7 /1'7 /01 7,1,3 <br /> lo <br /> U Faxed <br /> Print Name of Service Agent Signat f Service Agent Service Agent's License No. <br />