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r i i 1 It <br /> /I, II I Yrs' • I , •1• : :, r l // .... <br /> Facility Name: <br /> Address;Facility <br /> 10855 S.Harlan Road,French Camp Ca <br /> 95231 <br /> Facility Contact Dave Nelson <br /> Date acal Agency Was Notified of ar <br /> Name of Local Agency Inspector(Ifpresent during testing). <br /> ,,r �!aTeL jl, Petroleum <br /> Service <br /> Technician Conducting Test John Puumala, <br /> Credentials: x CSLB Licensed Contractor 0 SWRCB Licensed Tank Tester <br /> i- License Number. 6 <br /> Manufacturer Tra ng <br /> Manufacturer Component(s)(s) Date Trainin" <br /> i, <br /> I <br /> i <br /> i <br /> Yom . <br /> MM= <br /> ommm <br /> momma <br /> mom <br /> UDC <br /> n mm <br /> 1 •1 1t i 1MIN ink-Ew <br />