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-U <br /> RECEN�, <br /> APR12 <br /> 017 <br /> IMF THNTAL L <br /> PPS R <br /> A or a-'TeSt - Work Order Dat C ` � --� <br /> 416 2nd Street Galt,Ca 95632 Tech: (", �( o' �g�} j <br /> las 744-0112 . <br /> Site: Monitor Vpr Recovery ® Tanks/Lmes <br /> Alarm Response/Lbr/Other <br /> 40C) - y-f-" amt <br /> ❑ Testing/R m Passed No Parts Needed Parts Replaced: Parts Needed: <br /> Repairs Needed: <br /> Lid Bolts: OK #Missing or Stripped <br /> y Site R tative(print <br /> Results sent upon receipt of payment. Most regulatory agencies require <br /> results within 30 days of testing. Please plan your payment accordingly Site Resresairtative Signature: <br /> *Any issues within a few days of testing could be related to this testing,so site must call us BEFORE maintemce repairs are done by others. <br />