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EZY-CHEK REPORT AND WORK SHEET <br />1. Testing Contractor <br />—Fertiton3naTti3fr&.4 Ar. <br />2191 1qAV—Y UHIVt-1 <br />STOCKTON.CA 96206 <br />5. Send Invoice and Results to <br />a09 AI& ; <br />99// <br />6. <br />2. Operator Name <br />3. Owner of Site <br />.84 An -4 <br />4. Owner of Tanks <br />Send Results to <br />6A. Horner Creative Metals, Inc. <br />413 State.Park Drive - <br />Bay City, Michigan 48706_ <br />(5i7. ) - 644-7182 —. - <br />6C. I <br />a <br />