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i <br /> AFFORDA-TE$T AST TANK TEST. <br /> 416 21 Street Galt,Ca.95632 <br /> 209 744-0112 Fax 209 744-0116 PRIMARY & ANNULAR <br /> 2016 <br /> Site: .SANGUINETTI CIRCLE K Test Date: 05/09/2016 <br /> Address: 4391 ESCALON BELLOTA RD <br /> City: FARMINGTON, CA 95230 Equipment: VACUUM TEST GAUGE, <br /> Test Method Developed By: Tank Manufacturer Industry Standard XXX Professional Engineer <br /> Other(Specify): <br /> Test Method Uses: Pressure Vacuum XXX Hydrostatic <br /> Other(Specify): <br /> Measuring Equipment Used for Testing:VACUUM GAUGE, VACUUM PUMP, ISOLATION EQUIPMENT <br /> Tank# I Tank#2 Tank#3 Tank# <br /> ® PRIMARY ® PRIMARY ❑ PRIMARY ❑ PRIMARY <br /> ❑ ANNULAR ❑ ANNULAR ® ANNULAR ❑ ANNULAR <br /> 14,065 6,009 ANNULAR <br /> Tank Capacity: <br /> D W- STEEL D W - STEEL D W - STEEL <br /> Tank Material: <br /> 87 OCT 91 OCT DRY <br /> Product Stored: <br /> Wait time between applying <br /> Pressure/vacuum/water and starting SET UP -- -- <br /> test: <br /> 0950 0946 1120 <br /> Test Start Time: <br /> -1.07 -1.09 -1.13 <br /> Initial Reading Ri): <br /> 1050 1046 1220 <br /> Test End Time: <br /> -1.07 -1.09 -1.13 <br /> Final Reading <br /> HOUR HR HR <br /> Test Duration: <br /> 0 0 0 <br /> Change in Reading f-Ri : <br /> -.10 -.10 -.10 <br /> Pass/Fail Threshold: <br /> PASS PASS PASS <br /> Test Result: <br /> NO NO YES <br /> Was sensor removed for testing? <br /> Was sensor properly replaced after <br /> testing? N / A N/A YES <br /> Comments Technician: ZANE NIMMO <br /> OTTL#04-1676 ICC 5263322-UT ICC 5263322-U3 <br /> Oregon UST Service#26755 Oregon UST Tank Tightness#26756 <br /> Nevada UT-2206 <br /> Signature: <br /> Date: 5/9/2016 <br />