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TRACY TRUCK STOP <br />0 <br />0 <br />209 832 6307 04/08/04 01:09pm P. 007 <br />Mk�B, January 2002 <br />I I Page of <br />Seen dar"`Co ntainmgent Testing Report Form <br />Oppr0prIM0 Pages Of this farm to report results for all compoizeno tested The wnp&t.-dfor mwn•nmteslprwdw,-,v,,md <br />printouts from tests (ijapplicabie), should eprvvukd to thejadho Gw"er1vPerat0rlbr submirtai to the lbealrepkkwy agymy. <br />P AT Dare' of Tastin <br />Facility Address: <br />F3094 contOC17 Phone: --2 S <br />Date Lacal.AgaW Was Nodfied of Testing <br />lector (j(present darm&��dne: <br />0, V 747 7 77, 1 <br />Wow* <br />tel. 4TIT KT M, <br />omponent 9= <br />C-? <br />Fan <br />Not <br />Tested <br />11111W am <br />Ma& <br />ga--tjW-7— <br />? Fat <br />AM a <br />Tested <br />Wn <br />Made <br />x <br />4 60!�� PILL t5a)e Er, <br />0 <br />0 <br />D <br />0 0 0 <br />0 <br />r -,j 0, H)!r <br />0 <br />El- <br />0 0- 0 <br />1 0 <br />E <br />0 li 0 <br />0 <br />f5- <br />n <br />11 <br />D <br />0 0 0 <br />Cl <br />11 0 0 <br />Ll <br />El <br />[1 <br />11 <br />0 <br />0 0 3 <br />0 <br />a <br />- D <br />0 <br />0 <br />0 D j <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 cl 3, <br />0j <br />0 <br />0 <br />0 <br />- <br />-2j-f L 0 �_ <br />! <br />t. I III -- & 11111 11�1111 liql1lill, 11111111 11111111. MI <br />CERTIFICATION OF T1001CLAN RESPO-NMLE FOR CONDUCTING TINS TESTING <br />To the bewrafmy knowledge, the fug szatedbx lhlytocumawtare accarwe and &jfzdlcanWftwt=with lValreptiremeno <br />Technician's Sigiiature- 66- Due: -3 C:. <br />