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CLIENT: <br /> OWNER OR DEALER �'� 5- IGjPf �- DATE OF TEST G 3 <br /> ADDRESS (NO. & STREET) T S/=0 5 c�ou /��kz.ronT tN r�Y WEATHER C- Z �� 2 <br /> CITY AND STATE TEMPERATURE 7 - <br /> TANK INFORMATION: TANK NO. Z OF 2_ STATE/COUNTY/ETC. I.D. NO. <br /> CAPACITY (NOMINAL) GALS. SIZE OF TEST OPENING v-/ CONTENTS <br /> CAPACITY (CHART)_ GALS. TOP OFF TIME ! ZG17Z­ TANK MATERIAL_—! S 7--C-' r [ <br /> DIMENSIONS: DIAMETER N. GALLONS . APPROXIMATE AGE /v <br /> LENGTH GALLONS TO START TEST PUMP SYSTEM (TYPE)- !`fi <br /> A. Tank Bot. to Grade C54__ _ 1 <br /> GRADE D B. Tank Top to Grade Z <br /> C. Tank Diameter 47 " <br /> G B D. Test Level Above Grade — T,2 <br /> E. Depth of Water in Tank �" <br /> F f <br /> H F. Depth for Taking Sample �S N ! I <br /> A G. Temp. Probe Depth (connector) 3 <br /> H. Test Level to Tank Bottom __ " ��� <br /> C I. Ground Water (height on tank) _ f� <br /> WATER <br /> PE E J. Product Pressure per 1" Height <br /> X _•r j f _ ( X .036 <br /> NET TEST <br /> PRESSURE <br /> NOTES: LAYOUT CHART <br /> SYMBOLS: <br /> T- TANK NUMBER X" LINE TEST ATTACHED U — UNLEADED <br /> S — PREMIUM <br /> TEST OPENING f00\ MANIFOLDED R — REGULAR <br /> �,�„ D — DIESEL <br /> DISPENSER �'„� EMERGENCY SHUT-OFF WO— WASTE OIL <br /> N — NEW OIL <br /> T TURBINE Q/V VENT PIPE X — OTHER (SPECIFY) <br />