Laserfiche WebLink
AFFORDA-Z.. T <br /> 4162 nd Street Galt, Ca. 95632 AST TANK TEST <br /> 209 744-0112 Fax 209 744-0116 <br /> Site: Iu �t Test Date: C / /D <br /> Address: ) <br /> City , � Euimqpent: � '`Ml P" 7-f <br /> U <br /> Test Method Developed By: Tank Manufacturer Industry Star anda d Professional Engineer <br /> Other(Specify): <br /> Test Method Uses: Pressure Vacuum Hydrostatic <br /> pecify): <br /> Measuring Equipment Used for Testing: <br /> Tank# / Tank# Tank# Tank# <br /> Tank Capacity: <br /> Tank Material: �C+ <br /> Product Stored: �/ •c ko� <br /> Wait time between applying <br /> Pressure/vacuum/water and starting <br /> test: <br /> Test Start Time: <br /> Initial Readin (Ri): <br /> Test End Time: l) <br /> Final Reading(Rf): <br /> Test Duration: <br /> Change in Reading(Rf-Ri): <br /> Pass/Fail Threshold: (2 <br /> Test Result: Pa <br /> Was sensor removed for testing? J <br /> Was sensor properly replaced after <br /> testing? <br /> Comments— (include information on repairs made to testing) <br /> Technician: Lyle D. Nimmo ICC 9-'5249115-UT Exp. 07/01/09 <br /> l_� <br /> Signature: ' � � Date: <br />