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V. <br /> OIL EQUIPMENT SERVICE STATE LICENSE No.323417 <br /> CLASSIFICATION: A-HAZ.,C61D40 <br /> Division of Keith A. Tallia, Inc. STATE ENVIRONMENTAL ASSESSOR No.01781 <br /> Telephone: (209)754-1808 <br /> Fax: (209)754-5726 <br /> Post Office Box 950 <br /> 750 Industrial Way <br /> REAS,CALIFORNIA 95249 <br /> HORNER EZY-CaECK CERTIFICATION �p N <br /> MIA <br /> Property 01 1995 <br /> Owner : JT-,)<K7-oN kNtP,c=D .ScHOoL .Drs <br /> Address: ,J . leez- /3L 57ZC<7-0wl C.1, P� C�Vq(TH <br /> Tank Address : lHE <br /> *Notice to owner(s)* A copy of this test result has been filed with the proper regulatory <br /> agency. It is the responsibility of the owner(s) to contact the local Env. Health Dept. in <br /> his or her area of any tank failure within (24) hours of testing. <br /> Tank Product Capacity Apx . Age Steel Fiberglass Supplier <br /> u LE:7,aoZiD r;z 000 <br /> # ( 0ic5,EL /0000 <br /> 40-3 1D /ESEL J0000 <br /> Tank( s ) were filled on : /Sroo Distributor : 0,1.. v!cyANT <br /> Date Time <br /> Extra product to top off:_lv'oLr Yes[ ] Gallons <br /> Comments : <br /> TEST RESULTS INCLUDE <br /> Tank( s ) v Product Line ( s ) �L Vapor Recovery System Vent Line(s ) <br /> Tank Tight Tight Leak indicated Leak indicated Date of <br /> ID* Tank( s) Line( 2) per hr. ( tank) per hr. ( line ) testing <br /> M u � Yes [ [ ]Yes [ No [ ] -, o; —.oil 2 /3 -q5 <br /> #r Yes [ o[ IYes[LfNo [ ] -, oig5 -17 <br /> *r3 Yes[ No[ ]Yes [4No[ ] -. o 'l1 _ � - �3 _4j <br /> Yes[ ]No[ ]Yes [ ]No[ ] <br /> Yes [ ]No[ ]Yes[ ]No[ ] <br /> Yes[ ]No[ ]Yes[ ]No[ ] <br /> Technician :_ �L���.� ���, ���� , License -/ p Date : z2--i :3-9J <br />