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RECEIVED <br /> JUN 19 2014 <br /> ENVIRONMENTAL. HEALTH <br /> DEPARTMENT <br /> Afforda-Te$t - Work Order' '�' �" Date <br /> 416 2nd Street Galt,.Ca 95632 Tech: <br /> 209.744-0112 <br /> Site: (r Monitor �Vpr Recovery JTanks/Lines ❑ <br /> �Y Alarm Response/Lbr/Other <br /> Hn l t <br /> EZ'Tesfing/Rprs Passed No Pa Needed parts Replaced: Parts Needed: <br /> 07� 'V) - <br /> F] Repairs Needed: U' _ <br /> Lid Bolts: OK M #Missing or Stripped 4�IA <br /> Site Representative(print):� {-�i)iA'(;'-Oa�q.;j e t-- <br /> Results sent upon receipt ofpayment. Most regulatory agencies req ire J /1���-`— <br /> Site Representative ve Si�ature: i ) r ' <br /> results within 30 days of testing. Please plan or paymdgly. lf '1-- <br /> *Any issues within a few days of testing could be related to this testing,s site must callus BEFORE maintenance repairs are done by others. <br />