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UES bi VL LAYUU I
<br /> 22 �, 1,150 r,arbor BiyCf. W. Sacral-nento, CA 95691.
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<br /> Townif est, a,� � t �� �� FTS- (916) 372-75
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<br /> A NLAY TANK TEGRITY TESTER' FIELD TEST DATA
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<br /> 7 NAME ADDRESS PHONE( .
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<br /> TANK Jv _.._�iJ� ^,- Vit^ r i<<?t' ;� `5 - 2t
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<br /> OPERATOR
<br /> r...' 7 IDENTIFICATION CAPACITY--GALS MANUFACTURER I STEEL FIBRGLS. AGE--YRS.
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<br /> .__.�_.._.,.�, ,_,�___ _--„___.___�_._.�...___ _ � � TAN TO
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<br /> KS p�+`r 's•fc _
<br /> BE TESTED
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<br /> _ _ — WATER ett,r AUG 91988
<br /> DISTANCE FROM GRADE TO WATER.._._... - --.._.._� INS
<br /> TABLE
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<br /> ._ �,.__. ........ ,a_._- ' .-1—_�.._j,_._...._ '__.�__.�.._ � � TANK WILL B E FILLED= G G� (TIME)i M E� �)fv � �,�5 f:5'••:� �N�
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<br /> } __ t fi t -j- i - __ - __ ,:- FERMIjT/ ERVICES,
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<br /> }_r�...._.�._ TANK
<br /> EXTRA 5 GALS PRODUCT AVAILABLE FW)A� •;
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<br /> _...,....,.__. _t -- ._ ..__.: ._ _,. FILL UP TO BE ARRANGED BY MR. !r o:. :i !:e” PHONE t .c�C.`91 `/.
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<br /> 1 t FILL-UP - ._ —- --- -..—.—.__ _ ...----
<br /> .. ..._.„ _r ...a. _.. r ._;........, + + _,.{.. __ + .._ --,r—.y..__ CONTACT AT STORAGE TERMINAL IS MI' _ _........_ ..----- PHONE
<br /> ;... .�.._ 4.,,.. I ,}-..._,, _.,,ti___�_ +_,.._,.�__f•_--�._.__- �--.._._.._:.._�_ .-fi__.,..� ..*,._}._-�—._.fi.. .�._.._ _, __.. .-....moi—l.— —_..�.._..—._...._.__ .� _._.__..
<br /> T'! NAME ADDRESS PHONEU LJJ
<br /> OUTSIDE
<br /> _
<br /> CONTRACTORS
<br /> _..................-- -. ......
<br /> ��3 6 NAME r.. N E AUTHORITY PHONE +" C�
<br /> f E 7 . 1. TANK NK
<br /> OFFICIALS
<br /> I Y -� i 1G✓ ..,�c:t-___��Y?',['/./"'7 =-J[�'t`__..G_�a�_.1���'f���� ��l 't �'�r"�:___ �K �._.1�._
<br /> - T TEST 2: TANK DIMENSIONS � \ TO BE
<br /> CONTACTED
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<br /> ! I F;K3 LN.:,. tJ F_• F l ,�— .*`-,.-%� mac. f2s' • a F c'�,..
<br /> PIPE_ F� PdSiOt %Sf' G++./ `'.i f r.
<br /> SPECIAL
<br /> NOTES OR �; �
<br /> iii I r PRECAUTIONS
<br /> C I?AC>€
<br /> GRADE
<br /> 8 ALL TESTS WERE PERFORMED IN ACCORDANCE WITH PROCEDURES DESCRIBED IN SOILTEST'S
<br /> I } INSTRUCTION BOOK. CRITERIA FOR TIGHTNESS IS ESTABLISHED BY NATIONAL FIRE PR,OTECTIO
<br /> ASSOCIATION BULLETIN. N.F.P.A 329-
<br /> 4
<br /> r� I TANK IS TANK IS LEAK RATE
<br /> TANK IDENT
<br /> TEST TIGHT NOT TIGHT G. P. H. TEST GATE
<br /> RESULTS ° /`'`j isr t'G'/` Vii" `_> �� T- • %`s
<br /> I I
<br /> .._._...__,_WATER TABLE. .. .
<br /> E WATER TABLE 9THIS
<br /> RE HE TANKS DESCRIBED WERE TESTED BY HE UNDERSIGNED AND THAT THE STATED
<br /> —, SULTS REPRESENT THE TRUE STATE OF THE TANKS ON THIS DATE TO THE BEST OF MY KNOWLEDGE
<br /> CERTIFIESTHAT
<br /> Mj
<br /> CERTIFICATE NO. ' _x
<br /> CERTIFICATION SIGNED �'' � ISSUE DATE
<br /> ua FOR(TEST COMPANY)
<br /> " w ADDRESS —_y
<br /> TANK IDENT _,... _...,, TANK IDENT.
<br /> z o STATE LIP
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