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rmrffisk <br />Am = - -gle <br />Environmental, Inc. <br />EM <br />2525 W. BURBANKBLVD. TEL. • (818) 840-7020 <br />BURBANK, CA 91505-2302 FAX: (818) 840-6929 <br />0 <br />WORKACKIVO TAIEINT <br />DATE: 0 3 AUTH#: <br />FACILITY#: 3O F7% <br />ADDRESS: 7610 - fe, AVc. <br />CTTY/STATE: M 46 - <br />COUNTY <br />COUNTY TECH: <br />SERVICE (QWCK <br />TANK TIGHTNESS TEST ❑ MONITOR CERTIFICATION ✓❑� <br />PRODUCT LINE TEST 1 FACILITY INSPECTION <br />LEAK DETECTOR TEST t-1 VAPOR RECOVERY TEST ❑ <br />ENVIRONMENTAL REPAIRS ❑ <br />OTHER ❑ <br />M <br />DEPARTURE: :Cj LESS MEAL TIME: <br />CUSTOMER PRINT NAME�� «.- r,4: <br />CUSTOMER SIGNATURE' --- �-7 f __- - <br />HATE: _ / � n 3 <br />d t <br />SBD:123— W ORKA0,N(3?97) <br />S <br />