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2 <br />RAMMN1401 Halyard DrJL.Sawamento, CA 95691 <br />Tank Testing& Service StationMalntenom (916) 372-7535 <br />AINLAY TANK `TEGRITY TESTERTm FIELD TEST DATA <br />TANK <br />OPERATOR <br />ADDRESS <br />PHONE <br />I- Co. <br />IDENTIFICATION I1 CAPACITY—GALS. I MANUFACTURER I STEELIFIBRGLS. I AGE—YRS <br />TZMaMPJ77't, �:1' _ WAR1 . 1 <br />3 WATERyy <br />DISTANCE FROM GRADE TO WATER LlcLlGMI1.INS. <br />TABLE <br />4 TANK WILL BE FILLED 100 (TIME) ON 9 / 7 S(y / <br />TANK EXTRA 5 GALS PRODUCT AVAILABLE FROM RAA -1 e& 1 %AJJK Tts }iNc <br />FILL -UP FILL UPTO BE ARRANGED BY MR. PHO E( ) <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 />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 IDENT TANK IS TANK IS LEAK RATE TEST DATE <br />TIGHT NOT TIGHT G. P. H. <br />eCar <br />9 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 />•D CERTIFICATE NO. f <br />CERTIFICATION SIGNED 1/Y'uAtiG7SlY. C\71b11 �ISSUE DATE <br />I 9` 4 -St5 <br />FOR (TEST COMPANY) R /� KON <br />ADDRESS Ta=nk TToti <br />tngaBaServiuStation Maintenance <br />P.O. Box 1024 <br />West Sacramento, California 95691 <br />