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01/07/14 04:OOPM BZ Service Station Maintenance 916-572-1050 P.01 <br /> EEIV <br /> B.L. SERVICE STATION MAINTENANCE INC. `` <br /> PHONE 91.6-371-2380 FAX 916-572-()15() ENVIF ONMENTAL <br /> Fax or email Lorm back Lorconftmation of a ointment HEALT 4 DEPARTMENT <br /> Attn: ecra.in@wavecable.com <br /> SB 989 -W' ,5ECONDAR Y CONTAINMENT <br /> T <br /> Attn: San Jo_ac )its Env Health Date: 1/7/2014 <br /> Fax or email: �2U�4tiFi 3433 <br /> A Secondary Cclntaintnent Test has been scheduled at the following Wation: <br /> Station Name: Lodi Food & Liquor <br /> Station Address: 1225c>r�i„�, AIdi <br /> Testing will be conducted on: Ngdqusday,,.�,�ebru rX5.2014 be innin gat x;30 <br /> 7 7e f olloiving tt�.rts will be<oncluc-ted <br /> Track Annular Testing <br /> Y Secondary Pipe Testing <br /> Piping Sump Testing <br /> Under Dispenser Containtnetit (UDC 'Testing) <br /> Y Fill Riser Containment Testing <br /> Cathodic Testing(if applicable) <br /> X Compliance Test ❑ Post Construction Authority# <br /> please confirm Data and Time and indicrate inq)ector name below. <br /> If no inspector can site please check <br /> Please contact me immediately if you wish to cancel or re. schedule. Thank you. <br /> �J <br />