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25971 Towne Centre Drive <br /> beishioreFoothill RarLch, CA 92610 <br /> environmental services, f c. (949)460-5200 <br /> ELSHIRE TESTING &COMPLIANCE SERVICES <br /> WORK ORDER <br /> Site: Job Number: Date: <br /> w <br /> Address: City: Truck: <br /> E]Secondary Containment Monitor Certification Vapor Recovery Test Repairs Maintenance Inspection/Other <br /> Inspector Name: Job Status: MCompleted <br /> Ej No Inspector on Site Ej Return Trip Needed <br /> Services Performed: <br /> -kovusim— t a n <br /> F <br /> S <br /> Test Water Status: <br /> None Generated E]Placed in Tank Trailer E]Placed in Totes [:]Placed in Existing Drum ❑Provided Drum <br /> Arrival `« Departure: Time on Site (Less Meals): Number of Personnel: <br /> Technician to . Site Representative/Facility Manager Name <br /> Technician Signature Site Representative/Facility Manager Signature <br /> WHITE -Original CANARY- Leave on Site <br />