Laserfiche WebLink
r 14` --tor Blvd., 1N. Sacramento, CA 95691 <br /> a' Tank Testing - O-V (915) 372-7535 <br /> AINLAY TANK 'TEGRITY TESTER'" FIELD TEST DATA <br /> .! 1 NAME - ADDRESS PHONE CQ RS I <br /> l TANK -3c_E ,Ca rt�.t.;r_ t�---5ia�.�iu is 9s�� 9 _.71st I <br /> OPERATOR <br /> 2 IDENTIFICATION CAPACITY—GALS I MANUFACTURER STEELi FIBRGLS. AGE—YqS. <br /> AICI <br /> TANKS TO <br /> BE TESTED --' <br /> I <br /> 3 WATER <br /> TABLE DISTANCE FROM GRADE TO WATER �_~ INS. <br /> 4 TANK WILL BE FILLED3 CC' (TIME,ON <br /> TANK EXTRAS GALS PRODUCT AVAILABLE FROM iELE7a3 w i% ii °y <br /> FILL-UP FII.L UP TO SE ARRANGEDBY MR. /. J. �' •"i✓ c'/! _ PHO!af l Cq( f S/ "r' 1" <br /> CONTACT AT STORAGE TERMINAL IS MH PHONE 1 1 <br /> 5 NAME ADDRESS PHONE <br /> 'OUTSIDE <br /> CONTRACTORS <br /> 5 NAME AUTHORITY PHONE <br /> OFFICIALS i/'%"t / s:r'.F r-.:r_3_v-�_' /aK G- . 1/17Y;_L"1 �i:L ' LC.II) CJ•rI <br /> TO BF <br /> CONTACTED <br /> 7 ��� .<. r i.-,`r� fC•' t<-,// � rL=r OAU/iiv�r c.L t:�p <br /> SPECIAL <br /> NOTES OR <br /> PRECAUTIONS <br /> 6 ALL TESTS WERE PERFORMED IN ACCORDANCE WITH PROCEDURES DESCRIBED IN SOILTEST'S <br /> INSTRUCTION BOOK. CRITERIA FOR TIGHTNESS IS ESTABLISHED 'BY NATIONAL FIRE PROTECTIO^) <br /> ASSr)CIATION BULLETIN. N,F.P,A. 329. <br /> TANKIDENT TANK IS TANKIS LEAK RATE <br /> TEST TIGHT" NOT TIGh: G.P.H TEST DATE <br /> RESULTS 'r ice, ,� ACG <br /> � <br /> u5 <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 !HE BEST OF MY KNOWLEDGE. <br /> CERTIFICATION SIGNE. —;dL [/ — CERTIFICATE NO. <br /> _ ISSUEDATE <br /> zi FOR(TEST COMPANY) <br /> ADDRESS <br /> a <br /> STATE----------- ZIP <br /> 4o9 <br />