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04/13/2005 WED 07:14 FAX 2001,'002 <br /> t <br /> SB 989 TESTING PROGRAM <br /> AGENCY NOTIFICATION SHEET <br /> Notification Date: 1111(3 Notification For: <br /> Test Date/Time: '2 / Initial Test: <br /> Repairs. <br /> Fac#: dC.,Oce-3 a Retest: <br /> ddress: L oy l('SE f4 <br /> City: <br /> te: Cr <br /> Agency Name: CCU al-) L./ O(? Q Notification Method: <br /> Person Contacted: Fax <br /> h E-mail: <br /> V"al: <br /> 46 <br /> Testing Comments <br /> Testing will be performed on the date identified above to meet the SS 989 regulatory deadline. This notification <br /> is being provided to moot the 48 hour advance notice requirement_ Upon completion of testing,results will be <br /> provided to your office as required. <br /> ontractor Name: a yei P. <br /> Contractor Phone: P/G) <br /> Notification Made By: <br /> (Name of r6vidu <br /> Contact: Phone: <br />