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A,,T,NKNOLOGY° <br />TECHNOLOGY FOR TANKS <br />AND THEIR ENVIRONMENT <br />OWNER: DATE: <br />C -BEV �,Oti <br />ADDRESS: SITE #: <br />17 -15- <br />Tank No: Line No.: ❑ Pres. Syst. 02"Suction Syst. Product: A U^1 <br />Pipe Mtr ❑ ST SRP ❑ ENV -FL Test Pressure / 'S psi Calib. Multiplier • 00 419 <br />Compression <br />TEST <br />Zero Pres. <br />Level <br />2q <br />Test Pres. Level ,gyp. <br />Zero Pres. <br />Pum p M g r.5Ov //au,£S <br />Level ,�i j , ILL Volume A . Q <br />Level / <br />Enviro-Flex Line ONLY <br />LINE TEST <br />Reading # <br />Mil. Time <br />Level <br />Level A <br />Volume A GPH`A <br />Volume Projected <br />G.P.H.4 <br />Cha ged Recorded inders Cylinders Gain -Loss <br />TESTED <br />TESTED <br />START <br />;ZO�? <br />TESTED <br />1 <br />TESTED <br />FROM: <br />1 <br />za 3 3 <br />2,1) <br />FROM: <br />00/ . dog/ <br />Z <br />/ <br />2 ;ZD -2,0- Orb <br />4 <br />❑Sub -pump <br />ub-pump <br />3 <br />�. D <br />;2 • <br />O <br />O G� <br />4 <br />6 <br />Dispenser <br />4 <br />UNIT MRG. (PRINT) <br />❑ Retro -"T" <br />5 <br />VacuTect Certi.#: <br />❑ Retro -"T" <br />5 <br />End Zero Pres. Level: 2,2. Z I FINAL LINE TIGHTNESS RATE: O <br />FAIL ❑ or PASS C5' <br />Exist. LD# ONE <br />New LD # <br />6 <br />End Zero Pres. Level: <br />FINAL LINE TIGHTNESS RATE: ) <br />FAIL ❑ or PASS P <br />Tank No: z f <br />Line No.: <br />Z f� <br />❑Pres. <br />Syst. <br />uction Syst. <br />Product: 5 vP <br />Pipe Mtr ❑ ST <br />5�-FRP ❑ ENV -FL I Test Pressure <br />/ 5 psi I Calib. <br />Multiplier 6)C5 t/y <br />Compression <br />TEST <br />Zero Pres. <br />Level 2 y <br />Test Pres. <br />Level / <br />Pum p Mg r. S0U7-1-ltu fl <br />Level L . / Volume d . D ;; -2-5 O <br />Enviro-Flex Line ONLY <br />LINE TEST <br />Readin # <br />g <br />Mil. Time Level <br />Level L <br />Volume Projected <br />G.P.H.4 <br />Cylinders Cylinders Gain Loss <br />Changed Recorded +/- <br />TESTED <br />TESTED <br />START <br />z/9 /Gj. cJ <br />TESTED <br />1 <br />;z / <br />, 00z/ 013/ <br />❑/Sub -pump <br />FROM: <br />2 <br />Z <br />/ <br />�C�pS 003 <br />4 <br />❑Sub -pump <br />3 <br />J 9 <br />O <br />O C� <br />Y/ <br />Dispenser <br />4 <br />6 <br />End Zero Pres. Level: FINAL LINE TIGHTNESS RATE: © <br />FAIL ❑ or PASS Gk <br />UNIT MRG. (PRINT) <br />❑ Retro -"T" <br />5 <br />VacuTect Certi.#: <br />Exist LD# NO.vE <br />New LD# <br />6 1 <br />End Zero Pres. Level: 2,2. Z I FINAL LINE TIGHTNESS RATE: O <br />FAIL ❑ or PASS C5' <br />Tank No: I-/ I Line No.: /j/ C I ❑ Pres. Syst. Suction Syst. I Product: q UN <br />Pipe Mtr ❑ ST <br />SRP ❑ ENV -FL Test Pressure _5-6? psi I Calib. <br />Multiplier . UU.S `/ y <br />Compression <br />Zero Pres. <br />Level <br />Test Pres. Level -7-1.6, <br />Pum Mgr. SOL) % N 14,'E5 <br />TEST <br />Level � <br />Z . <br />Volume L a / .3 / % <br />Enviro-Flex Line ONLY <br />LINE TEST <br />Reading # <br />Mil. Time Level <br />eced <br />Level D Volume n P. H.4 <br />Cylinders Cylinders <br />Changed Recorded Gai+doss <br />TESTED <br />TESTED <br />START <br />1 <br />2) '-/ 5 -;2- <br />�Z 5 5- 2 <br />FROM: <br />2 <br />,2Z0 S 7 <br />❑/Sub -pump <br />3 <br />z .z <br />IJ Dispenser <br />4 <br />❑ Retro -"T" <br />5 <br />Exist LD# NoA-r, <br />New LD# <br />6 <br />End Zero Pres. Level: FINAL LINE TIGHTNESS RATE: © <br />FAIL ❑ or PASS Gk <br />UNIT MRG. (PRINT) <br />Unit Mgr. -signature: <br />VacuTect Certi.#: <br />TAK-26 <br />I <br />i <br />