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ITTStInc, w <br /> v <br /> Horner Ezy Ch k System ENT ` HEALTH <br /> TET DATA RESULTS OF TESTS E VIFtO i E <br /> k I <br /> OWNER/OPERATOR OOI MEMORIAL HOSPITAL TANK LOCATION North of boiler room <br /> AGENT _ aim art° AGENT <br /> ADDRESS-----215 S. Fairmont Ay°enuq ADDRESS <br /> C1TY, STATE_L,c�dl, C�: 9.` 240 <br /> TELEPHONE <br /> STATE--- <br /> 1 ELEPI-IONE (209 7� �� �_ 9_ F' t. 1420 TEL PHOINE C ) <br /> SCHEDULED DATE OF TEST- " - �7 SCHEDULED ARRIVAL TIh1 8 :00 A.M. <br /> TEST TANK PRODUCT WATER TEST INCHES ABOVE WITHIN NEPA <br /> # CAPACITY CONTAINED PRESENT RESULTS TANK TOP GUIDELINES <br /> OF' .05 <br /> WORKSHEET COPY ATTACHED FOR SUBMITTAL TO GOVERNMENT AGENCY . <br /> REMARKS <br /> TESTING CONTRACTOR: Int gr t-ty Tank Tosting Systems, Inc . <br /> 166 Frank West Circle, Stockton, Ca . 95206 <br /> 1 800 262 8378 <br /> CONTRACTORS TECHN I I AIN <br /> DATE OF `' 3. J. M elke <br /> 800 262 TEST 166 Frank West Circle Stockton, 9525g--- (209 <br />