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12/16/2009 08:18 FAX 916 <br />371 2U6a <br />BZ SERVrI)CE STATION�y <br />11001/001 <br />r----------------------------------------------------------------- - <br />P 1 <br />az SERVICE srArloN MAINTENANCE INC P <br />r <br />916-371-2380 FAX 916-371-2540 DEC 16 1 <br />2009 <br />r <br />fix form back for ceafirmation of amoilltment. 8AN,,,,:6, <br />At <br />TERRI FOX bzssl att lobal, net L��` e rr�rrj�r <br />1 <br />r 1 <br />MONITORING SYSTEM CERTIFICATION <br />B <br />1 r <br />-------------------------------------------- I ------------------------------- .: <br />Attn: L� <br />Fax: 1 <br />Date: 0 <br />A test has been scheduled at the following location: <br />Station Name: 1 �"' }. <br />Station Address: 2 �V C►C' <br />Testingwill be conducted on t J <br />beginning at a <br />The following test will be conducted; �n <br />• Inventory of Equipment Tested/Certified r�, <br />�U '"`� f- 0� <br />• Line Leak DetectorsV\ IDS <br />• Vacuum/Pressure Monitoring (if applicable) <br />• Spill Bucket Test <br />Compliance Test Post Construction Permit #�_ <br />To confirm Date and Time, please indicate Inspector name below: <br />If no Inspector will be on site please check <br />Please contact us immediately if you need to cancel or reschedule. <br />