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AFFORDA-TE$T opy ANNULAR <br /> 416 2°a Street Galt,Ca. 95632 <br /> 209 744-0112 Fax 209 744-0116 AST TANK TEST <br /> Site: �, ,`' �; n, 1' 'Test Date: <br /> Address: j l r <br /> City: /r�< CS+ a=%6 Equipment: ,C =r; 1 } r f ` :r !.t' -� <br /> Test Method Developed By: Tank Manufacturer Qndustry Standard Professional Engineer <br /> Other(Specify): <br /> Test Method Uses: Pressure Vacuum Hydrostatic <br /> eciiff <br /> Measuring Equipment Used for Testing: <br /> Tank# Tank# Tank# Tank# <br /> Tank Capacity: <br /> Tank Material: f <br /> Product Stored: <br /> Wait time between applying <br /> Pressure/vas uwJ-wa�-and starting �— <br /> test: <br /> Test Start Time: t� d <br /> Initial Reading(Ri): / <br /> Test End Time: <br /> Final Reading Rf): 6z / <br /> Test Duration: <br /> Change in Reading(Rf-Ri): <br /> Pass/Fail Threshold: <br /> Test Result: ape <br /> Was sensor removed for testing? <br /> Was sensor properly replaced after aa 1 <br /> testing? A)l <br /> Comments— (include information on repairs made to testing) <br /> Technician: Lyle D: Nimmo ICC #5249115-UT Exp. 07/01/09 <br /> Signature: t / �-'r Date: <br /> r <br />