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Drop test report
Date: 03/19/21
Permit # : PL-o5-20-892
Customer Name: Carlos Lopez
Address: 1213 NE 94 Street
City: Miami Shore State: FloridaZip Code: 33138
Open Pressure: 6112"
Test Time:_5 min._
702 SW 2nd Ct.
Hallandale, Fl33009
CFC-1426227
Office: 305-970-1612
Cell: 786-251-8027
Lock up Pressure:_6"
Test Pressure:_5"
STATE OF FLORIDA, COUNTY OF
S ,r ve and subscribed before me this 2 l day of `� 20 2-1
Notary for Qualifier r n-
maw_"I MARIAVELAZQUEZ
MY COMMISSION #HH096643
Personally Know �OR Produced Identification- EXPIRES: MAR 14, 2026