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A-LA-L J A-TA T <br /> 4162 d Street Galt,Ca. 95632 AST TANK TEST <br /> 209 744-0112 Fax 209 744-0116 <br /> Site: TDc,n- E /-3 v i t z�w)y? ,z Test Date: / Cr /07 <br /> Address i 4 r)o V- +o r-�g d, <br /> City: 6 - U Equipment: <br /> Test Method Developed By: Tank ManufacturerIndustry Standar Professional Engineer <br /> Other(Specie): <br /> 51 <br /> Test Method Uses: P�ressuree Vacuum Hydrostatic <br /> er(Specify):. <br /> Measuring Equipment Used for Testing: <br /> Tank# Tank# Tank# Tank# <br /> Tank Capacity: (9 0� 1 <br /> Tank Material: <br /> Product Stored: <br /> Wait time between applying <br /> Pressure/vacuum/water and starting <br /> test: <br /> Test Start Time: �-V <br /> Initial Reading(Ri): <br /> Test End Time: / L� <br /> Final Reading(Rf): <br /> Test Duration: ri - <br /> Change in Reading(Rf-Ri): <br /> Pass/Fail Threshold: <br /> Test Result: A,. 5� <br /> Was sensor removed for testing? <br /> Was sensor properly replaced after 1 <br /> testing? , ✓ <br /> Comments- (include information on repairs made to testing) <br /> Technician:Lyle D.Nimmo ICC-#5f49115-UT Exp. 01/01109 <br /> Signature: ? ,�' t �;',/ Date: ✓; `� <br /> �1 <br />