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Q ( - <br /> CRISP TANK TESTING y 6 s f�zo Pc�'rics <br /> 2004 Piccoli Rd. #9 <br /> Stockton, GA 95205 HORNER EASY TESTING METHOD ADDRESS <br /> as _ <br /> 3 8 `�° 73i- /Rc�4 ago <br /> WORK SHEET 37 CITY-STATE-ZIP CODE <br /> Lad,' - Cls2�c <br /> OWNER OF TANKS <br /> TANK No. TEST LEVEL PRODUCT_ CAPACITY 0 0 0 CHART CAL , S _ g•�. •00 (A) �ZTA KS <br /> 0 <br /> MEASURED GRAVITY 5 PRODUCT TEMP r COEFFICIENT J S 8 TEMP CAL,00 .Z.0/o �S� 06 (g) ADDRESS <br /> Air Temp <br /> AIL GAAIP# <br /> +T LEVEL LEVEL GAIN♦ x(A) LEVEL TEMP. TEMP. GAIN ♦ x(B) TEMP. FINAL TIME CITY-STATE-ZIP CODE <br /> NO. START END LOSS- x (A) RESULT START END LOSS- x(B) RESULT RESULT <br /> 1600 <br /> OPERATORS NAME AT SITE <br /> Vc�-9 <br /> X -•�87 `— x —y8 ' 4 - . 00 , 66 , OLI,20 7O/b0 43p TYPE OF fYSTEM <br /> /630 SUBMERGE ❑ SUCTION <br /> /S �� 00/3 ` 0 / (J 7 OO O o[��:. © /b l ' LENGTH EIEC POF COLOR ADE OF P0.0DU: <br /> CLEAR ORANG <br /> il/L - <br /> i <br /> RED <br /> X 4 � DIAMETER OF TAK/ D 39 AL � <br /> a METAL <br /> J. FIBERGLA <br /> S / O - 1 -7 4,5 x[ 00 <br /> / I A 11/94 :-00(' X4 ( O 1716T-. <br /> TYPE OF RECOVERY SYSTEM <br /> 10 I — — /7�� p u BALANCE ❑ RED JACKET HEAL <br /> X X L <br /> 70 . 3 `, G �/a , ♦ I6 , 0 , 0,233 -30 WAIER LEVEL IN TANK Liquid level <br /> /730 <br /> D 41 _ I 0 0 DiiL '4,lo r4A14 — o )4- 66/90 O233 oq'S DE'"i N OF GROUND WATER (IF KNOVM) <br /> g 9.1 - '70 -aa X 0013 `, o� 6 6 5 -.00 X4.66 ' 3 - i�/tooVie/ sp <br /> DATE/TIME STORAGE SYSTEM FILLED <br /> ^ // DATE TIME <br /> STATION LOCATION L �7,6AQkEE 2EA✓/GE CERTIFIED TIGHTye S ✓/_- 2 -S 7 /1700 <br /> AUS OF TANKS <br /> ADDRESS ,3DB S C.hE2[ .C'EE 1,17 �� LEAK RATE PER HOUR TS� / F�A25 6C� <br /> / _ ¢• G2isP <br /> CITY Z) � —7 STATE �� OPERATOR Le-04209&D /7 Q wG F LINES <br /> DATE L�' -5-15' / SIGNATURE �_ <br /> V1 kTs <br /> ST3AGFLUID.IF DIFFERENT THAN <br /> (IUGR rno OCYaoYc �TNEO MATERIAL <br />