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Lawrence ' 2 ��Lawrence c <br /> oil 111111110 <br /> P.O.Box 407 ' Downieville,California 95936 (916)289-3109 <br /> DATE TESTED: _ZI_ / �l <br /> INVOICE No. q I Iva MAY 1 5 <br /> ENVIRONIMENTAL HEALTH <br /> PERMIT/SERVICES <br /> SITE NAME 1 (Y1t1 cS® <br /> STORE / REFERENCE NUMBERven ,;_�0 63a <br /> ADDRESS q6.;-) 2 Z2e, (( d�> nn <br /> CITY / STATE / •ZIP '5 CDC +6r, (,Q <br /> PRODUtCT SIZE RESULTS PASS/FAIL/INCONCLUSIVE <br /> TANK #1 U.\©-'C Or PSS r1 0Y <br /> TANK #2 <'n x <br /> TANK #3 `[lam �d-� Tp r <br /> TANK #4 <br /> STATEMENT: <br /> THE ABOVE TANK AND PRODUCT HANDLING SYSTEM HAVE BEEN <br /> HYDROSTATICALLY TESTED WITH THE PETRO-TITE SYSTEM AND ACCORDING <br /> TO THE MANUFACTURING PROTOCAL HAVE SHOWN THE ABOVE RESULTS ON THE <br /> DATE TESTED. <br /> TESTERS SIQnTURE <br /> 22— <br /> TESTERS <br /> TESTERS STATE LICENCE NUMBER <br /> petro Tttp` <br /> TANK TESTER <br /> Features: <br /> r.] meets NFPA'329 criteria <br /> L accurate to.05 gal./hr. <br /> E�reliabie <br /> 1 1 minimum Interruption of <br /> operations <br /> 'Notionol Fire Protection <br /> Association <br />