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4&Harbor Blvd., W. Sacramento, CA 95691 <br /> TELESIS.. 1 <br /> Tank Testing (916) 372-7535 <br /> AINLAY TANK `TEGRITY TESTER`" FIELD TEST DATA <br /> 1 NAME / ODRESS D PHO E <br /> 1` TANK I�i.ivm 5l J) ��5��/f 115'310 w. /t.� fk4 M,L 4). �� C(,{_21 <br /> � <br /> OPERATOR 3 ctifo✓1 (.✓? • C?5 X04 <br /> 2 IDENTIFICATION CAPACITY—GALS. MANUFACTURER STEELIFIBRGLS. AGE—YRS. <br /> O000 / K to O <br /> TANKS TO <br /> BE TESTED <br /> 3 WATERp <br /> TABLE DISTANCE FROM GRADE TO WATER ? INS. <br /> 4 TANK WILL BE FILLED (TIME) ON <br /> TANK EXTRA 5GALS PRODUCT AVAILABLE FROwM� P- <br /> FILL-UP FI LL U P TO BE ARRANG ED BY M R. M• Kc� PHON (AOg) 5-% <br /> CONTACT AT STORAGE TERMINAL IS MR. PHONE ( ) <br /> 5 NAME - ADDRESS PHONE <br /> OUTSIDE <br /> CONTRACTORS <br /> 6 NAME AUTHORITY //??HONE <br /> OFFICIALS Seer �c,�c..n Gond 4 .z"e Cc -1cJllL- 1o<Oel) Y�,W -3Y�o <br /> TO BE <br /> CONTACTED <br /> 7 <br /> SPECIAL <br /> NOTES OR <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(DENT TANK IS TANK IS LEAK RATE TEST DATE <br /> TEST TIGHT NOT TIGHT G. R H. <br /> RESULTS T,¢ G (� (, / ✓ •t.01 <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. 1383 _ <br /> CERTIFICATION SIGNED ISSUE DATE 3-h-Aq <br /> a FOR(TEST COMPA Y) _ <br /> ADDRESS <br /> a �nlfV <br /> MIR ZIP <br />