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Feb 08 11 03:27p <br />BZService97 5720150 p.1 <br />B.Z. SERVICE STATION MAINTENANCE INC <br />PHONE 916-371-2380 FAX '71(c=� S - Q t <br />Fax or email form back for confirmation of a>apointment <br />Terri Ann Fox -d uu=lV'---61<-- , C <br />�.. , ,.1001WIffld <br />Containment SB 98 <br />Attn:�lY� aQ—C^—Ql LA V1 Date: <br />Fax: 2-C>'":�- <br />' <br />A Source Test has been scheduled at the following location: <br />Station Name: T L1 <br />Station Address: 112� <br />Testing will be conducted on: beginning at <br />The fallowing tests will be conducted <br />o Track Annular Testing <br />o Secondary Pipe Testing <br />o Piping Sump Testing <br />o Under Dispenser Containment (UDC Testing) <br />o Fill Riser Containment Testing <br />e Cathodic Testing (if applicable) <br />Compliance Test Post Construction Authority # <br />To confirm Date and Time, please indicate inspector name below: <br />If no inspector on site please check <br />Please contact me immediately if you wish to cancel or re -schedule. Thank you. <br />s <br />