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AIVKNOLOGY <br />VacuTect Tu TANK TESTING REPORT <br />Customeroat��� _ Site #7 7 s� <br />Invoice Name/Address <br />Site Name/Address <br />S.O.# <br />Date <br />Phone" -09 <br />Atrn: 1/,.s -4 <br />TANKS <br />LINES <br />Leak Det <br />COMMENTS No" ww000wor ".r.. <br />See <br />Dieu <br />For <br />ILM <br />Tank <br />It <br />Tank <br />Product <br />Tank <br />Dia. <br />Tank <br />Gallons <br />Tank <br />Mat'I <br />E <br />ST/ <br />FRP/ <br />Lined <br />Dipped <br />Water <br />Level <br />0 <br />START <br />Dipped <br />Product <br />Level <br />0 <br />START <br />Probe <br />Water <br />Level <br />� <br />�@T <br />END <br />Water <br />ingress <br />Detected <br />■ <br />Yes/No <br />Bubble <br />ingress <br />Detected <br />■ <br />Yes/No <br />Uls�eAir <br />Ingress <br />Detected <br />■ <br />Yes/No <br />Tight <br />g <br />iTl <br />or <br />Fail <br />(F) <br />Lined <br />Line <br />Mai'I <br />■ <br />ST/ <br />FRP <br />DeGv <br />Syst. <br />■ <br />PS/ <br />SS <br />Tight <br />(n <br />or <br />Fail <br />(F) <br />Exist <br />LD <br />Pass <br />(p1 <br />Fal <br />NONE <br />NEW <br />ReTested <br />LD <br />■ <br />Yes/No <br />TANKS and LINES Te # t <br />CFR -40 Pa �8 r 1 <br />� a :�$ <br />NF . spa <br />r z <br />I�,v �1 , <br />` – k <br />END <br />END <br />Start I <br />End T <br />Gq, <br />ime: <br />me: <br />DO <br />�� <br />, lD <br />-- <br />r <br />Pc7 <br />,t% <br />Y� D <br />1B <br />New LD <br />- <br />�g <br />s Lj <br />1CF <br />Q <br />Pump Mir.: <br />1D <br />2 <br />1 <br />tart I <br />End T <br />Q <br />ime: <br />me: <br />p <br />l7 <br />J <br />/, <br />2A <br />26 <br />2C <br />2D <br />5� <br />Exist LD SN: <br />New LD SN: <br />I <br />F� <br />55 <br />Pump Mir.. <br />3 <br />G <br />tart <br />End T <br />ime: <br />me: <br />a <br />� 3 <br />1v ,1 U <br />!�(� <br />N <br />�f <br />3A <br />� <br />S 7 <br />Exist LD SN: <br />3B <br />New LD SN: - — <br />�3 <br />I <br />W <br />SRP <br />— <br />f 9P <br />5 <br />Pump Mfr.: <br />3 D <br />3D <br />SS <br />4 <br />I <br />L( <br />p� C <br />01'1 <br />Start <br />End Time: <br />�,} <br />itne:_0100 <br />`/ <br />rR� <br />/ <br />I <br />�(7 <br />/`� <br />4A <br />Exiat LD SN: <br />4B <br />New LD SN: <br />4C <br />Pump NW -- <br />-360' <br />4D <br />TANKNOLOGYRegional Office: ������(� Unit Number <br />�- <br />NOTE: Original VacuTect Data recordings are reviewed by Tanknolgy's Audit Control Department and maintained on file. <br />TANKNOLOGY CORPORATION INTERNATIONAL <br />4960-F Allison Parkway a Vacaville, CA 95688 <br />(707) 446-2494 • (800) 826-5837 9 FAX (707) 446-2495 <br />