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Ll <br />MIME%- <br />�gle r-,1,7�- SEP 18.2000 <br />Environmental, Inc. <br />2525 W. BURBANKBLVD. TEL- (818) 840-7020 <br />BURBANK, CA 91505-2302 FAX. (818) 840-6929 <br />0 <br />7WbRK,i'aovowLEDGwNT <br />DATE: AUTH#: <br />I At <br />FACILITY#: <br />j <br />ADDRESS: <br />CITY/STATE: J5—zc3s— <br />COUNTY <br />,14 TECH: <br />SERVICE REQUESTED (QTCJK <br />TANK TIGHTNESS TEST ❑ MONITOR CERTIFICATION ENVIRONMENTAL REPAIRS ❑ <br />PRODUCT LINE TEST ❑ FACILITY INSPECTION OTHER ❑ <br />LEAK DETECTOR TEST VAPOR RECOVERY TEST F-1 <br />CUSTOMER PRINT NAME <br />CUSTOMER SIGMA <br />SBa.123-WOMAC10097) <br />I <br />