Laserfiche WebLink
WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> (TANr � SE SIDE <br /> ^Er::N. TIZ Trt,e'vu ,- ?Vey. ._: s •, :Ax;: LDc:.::Dx -��'. .� fU:y <br /> 1-Z IN <br /> t<r.ALE• i.i._s- G Gii .cif!>iiG7 <br /> NICE CLPAC:^ LOOO� PRODUCT ' /4 TgL <br /> uor:r LrrE_ Cc::SRA'IORS ,,/ AMBIENT TEMP. PRETEST POSTESTTR�/� 4t,rL:ES: PCs-.Ls: 7' <br /> or r r1. TO ETE or :An 4 L <br /> LINES �/4/ sl WATER PRESENT PRETEST � POSTEST <br /> TO? Or r:: SO Tor or :An z c <br /> OT ✓ !�xs _ INCHES ABOVE GRADE @ TEST START ¢6 <br /> n' TAn DiAlm-r_e _ <br /> MDti•LELC.�� 7 _ _ _ ':ECPLSArOEE CLI/TIL-IORS <br /> SA <br /> ArECE 2p <br /> 7 A.P.:. rRODDL: GRAV:Sr I' J t G7 r - Gurm Or �@60r <br /> . 02-5 - --; 7 orgo z /Dooa . s, �-S� 7 <br /> QLArT::I ADDED LINZ EDCEEEI$ ' LIQCID CONS:AE: (A) COEFF:C:EN: OI LPASSIO6' :ANI CLTAC:TI :EEFLiATUSL CONS:AK: (S) <br /> /IJOo <br /> ' ,;,VEL LEVEL GAIN+ MIMES ';V;j TEM?. TEM?. -AIN+ TIMES TEMF. FSfi3L <br /> TIME S=AP.T END LOSS- CO A - H SULT START END LOSS- CON B RESULT RESULTS <br /> '$D I I-, 0736 2881 . 2-7b 1-, ,91 73 <br /> 104S lyz l , 7 1 -7-51 o 6 9 I , 7-7,y 1 , vo <br /> ov yz- I a5 I -67 I i—,06164 Z7o I, 2L3 "-w-7 I-.o�•zoy —.�w¢3/ ,o8ss5 <br /> >7 I I—.o5zg9 . 243 I . zs� �.oa6 I ho3S3zz I 007// <br /> 30 ( 7 1a5 I -J9 I 1-•olf,6Y 257 I , Z�/ 1-,006 1 h.o553ZZ - , 0i4jS8 <br /> I86 125 1-47 1 1-,0'V3z4 ZS/ ( ZySI^.0061 1-.oa53ZZ- —.007.9/8 <br /> 2W I �a 19Z I - 90 .ao/riyl— ,0365' <br /> 245 I. Zoo 1-,aos 15.387h,oZs935 - 00736 �G7 <br /> .EEL0-r-c"nDIIR OF Sa <br /> OVNEA/OPEAATOP, 2KpiO %��J li�• / ,/j��^TEST=FG P.rrLrL"_'S p LOgS/Gf;F OF: <br /> SITE ADDRESS. J4a L� C/��J�C✓.�_ /�/� �� /C 7"' . <br /> MAILING ADDRESS2E —L <br /> USING THE HDRNER LIT CHEZ METHOD OF PAECISIOK TESTING SHE RESULTS <br /> CITY S9'�..l=9r/�� �. ARE 6'"ES6 / ARE 60' 6'_:676 THE STATE OF CJILIFORKIA AND THE KFPA <br /> T 329 GUIDELINES OF A MALIMUP. LOSS OF .05 GALLONS PER. ONE HOUR OF <br /> COUNTY � i/'1 i�-� ' <br /> TES71NC FOR A TILE: rAl'E/s7E'E8. <br /> TELEPHONE INTEGRITY TANR TESTING SYSTEMS. INC. 166 FRAME. WEST CIRCLE <br /> STOCLTON. CA. 95206 (209 166-8036 (BOD) 262-8378 <br /> AGENT �'y) 4-�l.-O'er.--� CERTIFIED TESTEF. (/� "' TEST DATE 11 fli �� <br />