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i <br /> Afforda-Te$tPOB 36 26515 N. Sacramento Blvd. , <br /> Thornton, California 95686 nualonitor Ce cation <br /> (209)794-0102 (800)524-9087 FAX(209)794-0112 Annual S iucket Test <br /> TEST DATE: Z4 I, - TIME: - <br /> For Office Use Only <br /> SITE NAME: 91 Total#Sensors Job Time TECIDUCIAN NAME: Lyle D. Mmm® <br /> Owner/O eratorName: ti <br /> OTTL 97-1143 Cert <br /> TECH SIGNATURE:C� r <br /> Phone: CEZ i Env HealthAgency: <br /> INSPECTORNA M: <br /> Present El ale <br /> MONITOR (Make & Model): J Printout:included <br /> e?01! Or- -66-D <br /> Printout:GiventoInspecto <br /> TANK ID: Sz: L P--0 ID: Vt 1. Sz: (Q D 1 ID: %LAP Sz: G () /( ID: Sz: <br /> In-Tank Gu Probe # � <br /> Annular S ace or Vault Sensor# Iq V <br /> �l <br /> Pi in Sum / Trench Sensor # 'a 0rq5 0 - <br /> Fill Sump Sensor # <br /> Mechanical Line Lk Detector # A;;-la 5t-P-A"1-0 <br /> 5 �4 <br /> Electronic Line Lk Detector # <br /> Tank OverfilM h Lvl Sensor# <br /> Other (s ecif ) *See Comments <br /> ID: HID Q Sz: 1 ID: VIP Sz: ID: )Q b Sz: ID: Sz: <br /> In-Tank Guaging Probe# r/ 7 <br /> Annular Space or Vault Sensor# D- <br /> Piping Sum v/Trench Sensor# 44 "S - 7 9 01 5 ">0 h <br /> Fill Sum.p Sensor# <br /> Electronic Line Lk Detector# <br /> Tank OverfilMigh <br /> Other s ecif *See Comments <br />