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11 <br />B.Z. SERVICE STATION MAINTENANCE INC. <br />PHONE 916-371-2380 FAX 916-572-0150 <br />***Fax or email form back for confirmation of appointment*** <br />Iql• '� , ' <br />Attn: San Joaquin Env Date: 10/12/2018 <br />Fax or Email: <br />A Source Test has been scheduled at the following location: <br />Station Name: George Kishida <br />Station Address: 1725 Ackerman Dr, Lodi <br />Testing will be conducted on: Tuesday, October 30, 2018 beginning at 10:00am <br />The following tests will be conducted (if applicable): <br />,e Track Annular Testing <br />,e Secondary Pipe Testing <br />.e Pipe Sump Testing <br />.e Under Dispenser Containment (UDC Testing) <br />.e5 Fill Riser Containment Testing <br />,e Cathodic Testing (if applicable) <br />X Compliance Test Post Construction Authority # _ <br />If no inspector on site please check <br />Please contact me immediately if you wish to cancel or re -schedule. Thank you. <br />4 <br />