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� 1y C../ G IJJG � `I <br />RAMCl�N 1¢D] Halyard Dr., #130, W. Sacramento, CA 95691 <br />TankTesting&Service Station Maintenance 'irJIR<C!'IN�V NL)( (916) 372-7535 <br />(>rI��(1�T i SERV TMFC <br />AINLAY TANK `TEGRITY `ESTER FIELD TEST DATA <br />a <br />TANK <br />OPERATOR <br />72- I IDENTIFICATION I CAPACITY -GALS. I MANUFACTURER <br />TANKS TO <br />BE TESTED <br />PHONE <br />�Of- 9Uy-Qysy <br />STEELIFIBRGLS. I AGE -YRS. <br />3 WATERj� <br />DISTANCE FROM GRADE TO WATER jf µaJ�r14NS. <br />TABLE <br />4 <br />TANK WILL BE FILLED r0C (TIME) ON 17 /56 <br />TANK <br />EXTRA 5 GALS PRODUCT AVAILABLE FROM QMtae Ln �+7j1'��f <br />FILL -UP <br />FILL UP TO BE ARRANGED BY MR. PHONE( <br />CONTACT AT STORAGE TERMINAL IS MR. PHONE ( ) <br />OUTSIDE <br />CONTRACTORS <br />6 <br />OFFICIALS <br />TO BE <br />CONTACTED <br />7 <br />SPECIAL <br />NOTES OR <br />PRECAUTIONS <br />8 <br />TEST <br />RESULTS <br />NAME <br />ADDRESS <br />PHONE <br />NAME AUTHORITY PHONE <br />k4g 'a Ns.xll LOGc.I Hgu.1f-1. A001-qA9-351*e <br />to at Ae."S 11 ..._Il A.I. <br />Full SVs�ef• iY'J <br />ALL TESTS WERE PERFORMED IN ACCORDANCE WITH PROCEDURES DESCRIBED IN SOILTEST'S <br />INSTRUCTION BOOK. CRITERIA FOR TIGHTNESS IS ESTABLISHED BY NATIONAL FIRE PROTECTION <br />ASSOCIATION BULLETIN. N.F.P.A. 329. <br />TANK (DENT TANK IS TANK IS LEAK RATE TEST DATE <br />TIGHT NOT TIGHT G. P. H. <br />i —9-fr <br />THIS CERTIFIES THAT THE TANKS DESCRIBED WERE TESTED BY THE UNDERSIGNED AND THAT THE STATED <br />RESULTS REPRESENT THE TRUE STATE OF THE TANKS ON THIS DATE TO THE BEST OF MY KNOWLEDGE. <br />CERTIFICATENO. /g/J y <br />CERTIFICATION SIGNED <br />�dw�OW - Y�Q ` ISSUE DATE <br />FOR (TEST COMPANY) R I�■�N <br />ADDRESS Tank Teaiin96�Sa•Mee=Statlon Maintenance <br />P.O. Box 1024 <br />West Sacramento, California 95691 <br />