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03/28/2005 MON 11:11 FAX 001/001 <br /> a <br /> S13 989 TESTING PROGRAM ;�'s�,�- <br /> bp _� ._. <br /> AGENCY NOTIFICATION SHEET Ay�j+iyt+ <br /> �f <br /> Notification Date: S� Notification For: <br /> Test Date/Time., ` O / -7 :00i4 Initial Test: <br /> Repairs: <br /> ARCO Fac#: C0� Re-test: <br /> Address: ( -7 l ( iy 5 ✓� ��L <br /> City- <br /> State: CG <br /> Agency Name: Co o4� � ��c-�1 U t Notification Method: <br /> Person Contacted: 001A Fax C <br /> E-mail,: <br /> 'zi- Z0-6 41 -3 t�`{ Verbal: <br /> 7'estina Comments <br /> Testing will be performed on the date identified above to meet the SB 989 regulatory deadline, This notification <br /> is being provided to meet the 48 hour advance notice requirement. Upon completion of testing,results will be <br /> provided to your office as required. <br /> ontractor Name: yj <br /> Contractor Phone: <br /> Notification Made By: <br /> (Name of Individual) <br /> CO Contact: Phone: <br />