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TTELESIS 1450 Ha. : Blvd., W. Sacramento, CA 95691 <br /> Tank Testing (916) 372-7535 <br /> AINLAY TANK 'TEGRITY TESTER'"" FIELD TEST DATA <br /> , • 1 NAMEDDRESS PHO E <br /> TANK J a��Slnn(Jf Ac5r)/f l(�3Q w.� .'mad /A,1a 1�- aCi-�l,lj_12fw <br /> OPERATOR l _5c>c,T fw <br /> 2 IDENTIFICATION CAPACITY—GALS. MANUFACTURER STEELIFIBRGLS. AGE—YRS. <br /> TANKS TO _ <br /> BE TESTED <br /> 3 WATER ���� <br /> TABLE DISTANCE FROM GRADE TO WATER I INS. <br /> 4 TANK WILL BE FILLED � l (TIME)ON <br /> TANK EXTRA 5 GALS PRODUCT AVAILABLE FROM _ I(e 5.b -7—r.,, <br /> K T,g1l,�oq <br /> FILL-UP FILL UP TO BE ARRANGED BY MR. M-'05y PHON€S,lC?y15f/•,11y9 <br /> CONTACT AT STORAGE TERMINAL IS MR. PHONE ( ) <br /> 5 NAME ADDRESS PHONE <br /> OUTSIDE <br /> CONTRACTORS <br /> 6 NAME AUTHORITY PHONk <br /> OFFICIALS Sk Twe-ac,.•n Gond�✓ ( rw.�,'t� Go�ul(� (Zy yGg -3Y7o <br /> TO BE <br /> \ CONTACTED <br /> 7 1 3 l4a It LNY(S /-rfjy'� A3 /� l�✓f( 5`-5�.in <br /> SPECIAL ,Q � � � ✓ <br /> NOTES OR <br /> PRECAUTIONS <br /> 6 ALL TESTS WERE PERFORMED IN ACCORDANCE WITH PROCEDURES DESCRIBED IN SOILTESTS <br /> INSTRUCTION BOOK. CRITERIA FOR TIGHTNESS IS ESTABLISHED BY NATIONAL FIRE PROTECTION <br /> ASSOCIATION BULLETIN. N.F.P.A. 329. <br /> TANKIDENT TANK IS TANKIS LEAK RATE TEST DATE <br /> TEST TIGHT NOT TIGHT G. P. H. <br /> RESULTS -r-.1tte 66064 ( ✓ �.Uf S �� <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 /> Q� CERTIFICATE NO._,31 ) _ <br /> CERTIFICATION SIGNED — ISSUE DATE <br /> FOR(TEST COMPA ) <br /> > <br /> ADDRESS <br /> S fp lNQ <br /> m ZIP -- <br /> Ixa <br />