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r CRISP TANK TESTING �I C»NEROFSITE <br /> 140 W. ALDER <br /> I STOCKTON, CA 95204 HORNER EASY TESTING METHOD ADDRC[y e <br /> ' 7 7 `7 S, C <br /> 3 I� WORK SHEET _ 4CODE o�`,ee <br /> CITY <br /> 33 3 -STATE LP <br /> 7 3 7 0l; 9St44, <br /> � <br /> TANK No. e e TEST LEVEL PRODUCT Qre5e CAPACITY S� OQ CHART CAL /I S _ 3OWNEa or ANKs <br /> S . , DDS S�tAI <br /> (/'�L'I / 76 ' e s A6,I.e <br /> 3. / , CJ ADDRESS <br /> uEASUREDGRAVITY PRODUCT TEMP COEFFICIENT 000 � 6 TEMP DOO - $S/o _ 3, 9/ tgl <br /> I TEST LEVEL LEVEL GAIN <br /> f MO. LTART A (A) LEVEL TEMP, R (B) RESULT <br /> FINAL CITY-6TATE-ZIP CODE <br /> END LOSS- • (A) RESULT START TEMP. GAIN • TIME <br /> END LOIS- a (B) RESULT RESULT <br /> i{ <br /> Ifo �/ � 1 x . 0014 IT <br /> � /54 /�' • /J/ - �- x � . /� � �/�� /V � OPERATORS NAME AT[ E <br />( „ T <br /> r - l Q <br /> T /V <br /> x -'f- E V, <br /> e- <br /> X <br /> G <br /> O �� I �' ,y , O `O/O / TYPE OF SYSTEM <br /> {T� /� 19SU"ERGE E)SUCTION <br /> Xpal 4 I ` l4l 4 x 9 - / LENGTH OF COLOR CODE OF PAOI <br /> OO �� - �� � '•+`� / � 00 FILL PIPE CLEAR ORA <br /> RED <br /> X - - �• X -$ DIAMETER OF TANK .� METAL <br /> X1 /{ t] F�J V <br /> . 00/ q /s� s 1,5-64-, o o X 3.91 007 , 007P TYPE OF RECOVERY SYSTEM <br /> I <br /> _ X _ o sALAHCE JXRED JACKET OH" <br /> x <br /> 5 / 91 -9- , 00/44 - �' 6 - SS = , 0 3.9 0 003 9 <br /> WATER LEVEL 1N TANK <br /> . ,/S7 X3,11P . O/s� ,O/Ss�i �.� 0� - <br /> DE RN OF ORO VMD WATER (IF KNOWN <br /> y`po39 -,00as 120 /s "yW r3a ' <br /> _ DATE.- - STORAGE SYSTEM FI IED <br /> p� BITE <br /> STATION LOCATION CJ�Cr� lt�e S�Y'V/C a CERTIFIED TIGHTy / — - 30 M <br /> ? � ,p � AOE OF TAN KS <br /> ADDRESS / 3O2 J, Com/ eiei2,ejfA 12Q[I- LEAK RATE PER HOUR •Oz�^ <br /> CITY ` O i STATE al I 'r OPERATOR Lenh Ota C. R IS/'] <br /> AOE OF CS <br /> DATE_ /�"'�lD SIGNATURE o I <br /> T STIN LVID, FDIFFERENT THAN <br /> - _ STOREDMATERIAL <br />