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04/06/2005 WED 10:10 FAX 0001/001 <br /> SB 989 TESTING PROGRAM <br /> AGENCY NOTIFICATION SHEET <br /> Notification Date: �("::, - W Notification For: <br /> Test Date/Time: `7' Is / Initial Test: <br /> Repairs: <br /> Fac#:— He-fest: <br /> Address; c�U 1 '- Ave <br /> City: C, — <br /> tate: C <br /> Agency Name: Notification Method: <br /> Person Contacted: Dor) F <br /> f1 /) E ail: <br /> Verbal: <br /> Testing Comments <br /> esting will be performed on the date identified above to meet the SB 989 regulatory deadline. This notification <br /> is being provided to meet the 49 hour advance notice requirement. Upon completion of testing,results will be <br /> provided to your office as required. <br /> contractor Name: <br /> Contractor Phone: ` co <br /> Notification Made By: <br /> (Name a ndlvidual) <br /> Contact: Phone: <br />