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TELESIS VAW 1450*rbor Blvd., W. Sacramento, CA 95691 <br /> Tank Testing (916) 372-7535 <br /> AINLAY TANK `TEGRITY TESTER' FIELD TEST DATA <br /> 1 NAME ADD SS PHONE <br /> TANK «: z IIS t.✓ C•' % 4Sl -.Z/ <br /> OPERATOR G� ysa0� <br /> 2 IDENTIFICATION CAPACITY-GALS. MANUFACTURER STEEL/FIBRGLS. AGE-YRS. <br /> Vol a`OOC�Csa(. <br /> J � <br /> TANKS TO c ( L(oO0 a(• ✓1K <br /> BE TESTED - <br /> 3 <br /> WATER DISTANCE FROM GRADE TO WATER IW INS. <br /> TABLE <br /> 4 / !o I S9 <br /> TANK WILL BE FILLED Y�P'rL(TIME)ON S <br /> TANK EXTRA 5 GALS PRODUCT AVAILABLE FROM <br /> FILL UPTO BE ARRANGED BY MR. M (� HONE (J«{) �JS'I'J�( <br /> FILL-UP PHONE( ) <br /> CONTACT AT STORAGE TERMINAL IS MR. <br /> 5 NAME ADDRESS PHONE <br /> OUTSIDE <br /> CONTRACTORS <br /> 6 NAME AUTHORITY PHONE <br /> OFFICIALS Lour `� Gc 114 �ao4Z`/GS 3 /30 <br /> �y TO BE <br /> CONTACTED <br /> 7 o5v T kK % T g a9s✓� !��(( S`S�evnn s Qw•%j <br /> SPECIAL <br /> NOTES OR S D T✓lK Tay , <br /> PRECAUTIONS <br /> 8 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 /> TEST TIGHT NOT TIGHT G. P.H. <br /> RESULTS T_4- 1 +-03c/ // gy <br /> ovo C�.�• �s cl c/ - 037 /// Ff <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 /> �� ��/�� CERTIFICATE NO. 13fS <br /> CERTIFICATION SIGNED pp is ISSUE DATE -3 <br /> FOR(TEST COMPANY) g <br /> _a <br /> ADDRESS IAM TIMM <br /> PSA Box M4 <br /> yWo .rw.^SZZm%Ti rRr• ZIP <br />