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12/15/2009 15:44 FAX 916 371 2380 BZ SERVICE STATION Q 001 <br />0 0 <br />r- - - - - - -, - - - - - - - - - - - - - - - - - - - - - - - ---- -------- ------------- - - - - - <br />e � <br />BZ SERVICE STATION MAINTENANCE IN , <br />916-371-2380 FAX 916-371-2540 <br />i <br />Fax form back for confirmation of apaointmen#. DEC®E15 2409 <br />TERRI FOX bzssl Patt log bal.net s� J ` ; , r r::0,hr� <br />H=AU;4t, <br />, <br />MONITORING SYSTEM CERTIFICATION <br />`-------_--------------------------------------------------------- <br />Attm <br />Fax: 3'i�j <br />Date: -joa - <br />A test has been scheduled at the following location: <br />Station Name:_L� 1 F �x-,-''l <br />Station Address: 221�;- LIV - CIC <br />Testing will be conducted on <br />The following test will be conducted: <br />• Inventory of Equipment Tested/Certified <br />• Line Leak Detectors <br />• Vacuum/Pressure Monitoring (if applicable) <br />• Spill Bucket Test <br />beginning at �Q arrt <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 />