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11tech�.rll Loi"Fe)-) <br />I I A Compliance without Compromise <br />Site Name: Costco #1091 Lodi <br />Site Address: 2955 N. Tegnar Rd.. <br />City: Lodi, Ca <br />Date/Time of Test: 04/13/20 <br />Scope of Work: Perform UST <br />Work Order <br />JFj 9?1 0 20ZU 0. Box 47 8 <br />V P. 0 <br />Sonora CA 95370 <br />Ca; 623541 A -Naz <br />Phone: 209-532-7320 <br />Fax: 209-533-2650 <br />mail@a Iltechpetro.cor n <br />www.alltechpetro.com <br />Contracted Testing Compa <br />Technician: Isaac Anderson <br />Zip: Arrival Time: <br />Departure Time: <br />Testing Information <br />PM Service <br />Alltech Petro, Inc. <br />7:00 pm <br />10:00 pm <br />04/13/20 <br />Tasks Completed: Perform UST System PM Service 04/13/20 <br />Tasks Needing a Return Visit: None <br />Notes on the work completed <br />Performed inspection on facility to verify functionality of sensors, check fire extinguishers and verify <br />functionality of spill buckets. <br />I No concerns present at facility. <br />Signature of Technicia <br />