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9 p Pry <br /> Afforda-Telt Order <br /> Date M ASIA/ <br /> 416 2nd Street Galt, Ca 95632 Tech . <br /> 209 744-0112 <br /> �. ` <br /> Site : +� P1Monitor ® Vpr Recovery D Tanks/Lines ❑ <br /> Alarm Response / Lbr / Other <br /> ANNE CAM <br /> " t <br /> Ala <br /> —�- <br /> ❑ Testing/ Rprs Passed ❑ No Parts Needed Parts Replaced: Parts Needed. <br /> ❑ Repairs Needed: . �' • . <br /> Lan U <br /> Amon, <br /> - � .. . <br /> Lid Bolts. OK ❑ # Missing or Stripped <br /> Site Representat rint) ; <br /> Results sent upon receipt ofpayment. Most regulator' <br /> y. agencies require <br /> results within 30 days of testing. Please plan your puym� rt accordingly. Site Representa iv Signator <br /> 41 I • <br /> Ana <br /> *Any issues within a few days of testing could be related to this testing, so site must call us BEFORE maintenance repairs are done by others. <br />