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'THORNE ENVIRON TEL%Rlo . 916-784-7496 1714 No .005 P . 14 <br /> TELESIS 145 Irbor Blvd.. W. Sacramento, CA 95691 <br /> Tank Testing (916) 372-7595 <br /> AINLAY TANK 'TEGRITY TESTER'" FIELD TEST DATA <br /> 1 NAME + ADDRESS PHUNL C9' 4S/ <br /> TANK r��se1� s✓as�/�o�/..'F /s ..� := �X�` �� S1i€'r�;c••y _. —_ . /�, <br /> OPERATOR <br /> 2 IDENTIFICATION CAPACITY GALS MANUFACIURER SIEELIFIIJAGLS. At,L '!RS <br /> TANKS TO <br /> BE TESTED <br /> 3 WATER / r <br /> 0151ANCF. rROM GRADE 7l? WATEH . . INS <br /> TABLE <br /> 4 TANK WILL EIF FILI E[! °__..__.. 11MLI uN ���il.;.•; •.�-a - 1 <br /> TANK ExTPa 5 GALS pRODUCi nvad ANLF. cRnM "r_ �+_. -1." �� � ��i"/ .. I <br /> FILL-UpFILL UL'TO CLF AllfiANGEU L'` Mr• •..- <br /> CONIA::P A STUHAUL II W01N.., M0 <br /> 5 NAI.At AL:-Id.:.'... :•.,I n+E I <br /> OUTSIDE <br /> CONTRACTORS <br /> 6 NAME AJi HO:a1 : 71 PHONE <br /> OFFICIALS 5.�':•t_�..�yl.C. .+ _:,.:i.�C _ %%i =sv. .., ,,ertf.lr <br /> 10 BE --...--- ----- <br /> CONTACTED -- <br /> a <br /> SPECIAL <br /> NOTES OR <br /> PRECAUTIONS <br /> F ALL TESTS WERE PERFORMED 114 ACCORDANCE WITH PROCEDURES Uf SCHISEU IN J4114 ESTJ <br /> INSTRUCTION BOOK. CRITERIA FOH IItiHINt55 IS t5T49LISMLD BY NA11ONAL FIRE PROTECTION <br /> ASSOCIATION BULLETIN. N.F P A. 339 <br /> TANK(DENT TANK IS TANK 16 LEAK RATL TES1 DATE <br /> TEST TIGHT NOT TIGHT G P H. <br /> RESULTS si/ M s �.�.- , r,r ' ('.'' ' . � �� <br /> 9 THIS CERTIFIES THAT THE TANKS DESCRIBED WERE TESTED BY THE UNDERSIGNED AND THAT THE STATFI, <br /> RESULTS REPRESENT THE TRUE S1AIE OF IHL TANKS ON THIS DATE TG THE BEST OF MY KNOWI LUGE <br /> _. __._._. .. ._ .... _. .._ .. .. .. _. _ ... . ..CERTIFICATE NO. .. &�s . <br /> CERTIFICATION SIGNEb'E(� � cG y" ISSUE DATE <br /> FOR(TEST COMPANY) <br /> > ADDRESS <br /> e <br /> 71AIE SIP <br />