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• <br /> I 416 2''Street Galt,Ca.95632 <br /> O <br /> 0 209 744-0112 Fax 209 744-0116 AST TANK TEST i <br /> N - ---- 0 <br /> L <br /> T -Site: Y <br /> si+�L'"-1 r-Y=1' � .• 1� Test Date: 3 <br /> Address: <br /> Q City" <br /> o <br /> —1.— Equipment: P o <br /> a <br /> _ Test Method Developed By: Tank Manufacturer 1 IndushyStandartl prnresianal Engineer <br /> Other(Specify): <br /> p -- <br /> J I Tat Method Uses: Pressure Vacuum Hydrostatic <br /> 'Ot71 penjyJ: <br /> N i <br /> Measuring Equipment Used for Testing: , . 7 y- .J <br /> Tank 4 i Tank# 'rank At rank S <br /> 0 <br /> Tank Ca acit <br /> i. <br /> OTank Material: _ <br /> Product Stored: <br /> i <br /> Wait time between applying -- <br /> pressurrlvacuun✓water and starting <br /> Z tat. <br /> Teat start_r,� -- <br /> Initial Readin (R' : / <br /> Tay End Time: �—� /01 <br /> Final Rcadln RI : <br /> rpl l)nratlOn: - <br /> '� <br /> to Chan a in Realm 'Rf-Ri: - i <br /> pass/Fail"IWashold: <br /> ^x T¢gt Result: – <br /> W removed ror grin ' — <br /> was se'rjSOr W°�ly replaced <br /> Cr <br /> was srn re airs made ro tesa. <br /> V in <br /> ' injaimatron an P r <br /> Comuaeuts_(include ' <br /> p v <br /> MU� Ni"10o ICC y524911 <br /> W reebetdyp: LYIe p. r �., pate: o <br /> 0) <br /> CiPJtsture/ 6. <br />