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Data CA. for Tank System Tightnee Test <br /> CFN1l•D?IO14'S nm TESTING <br /> 1451 Oakhurst Way, Sacramento, CA 95822 <br /> PLEASE PRINT (916) 927-8155 * (BOOL 346-4839 <br /> 2CQ <br /> 1. OWNERPcipanyQ p Or .S['dr "r 1 'S �,-[ .rQPo ." STaolFan C'l� os: .H✓�J <br /> �rae�ees aapiwenbn.e TMeohole <br /> Tanks) El "arainerican Savings & Loan Y.U. Box 300—A <br /> 99901 <br /> Name <br /> AsONN aepr...nbtl.. T.I.IMene <br /> 2. OPERATOR American Savin2s Y Loan r..anor <br /> Nem. fie• <br /> 3. REASON FOR <br /> TEST SUBCHAPTER 16 OF CHAPTER 3 OF TITLE 2] QF THE CALIEORNIA ADMINISTRATIVE <br /> (E.pleln F.11Y) CODE <br /> 4. WHO REQUESTED Ownpr <br /> TUN cemwn.D.A M+ew °•'• <br /> TEST AND WHEN N.. <br /> AedreN T.lepnon. <br /> 5. WHO IS PAYING omwm.AsancvorIndividual Pa..AUMorMa nu. 1•lizon. • <br /> FOR THIS TESTI <br /> eluNw Aear.ee un Sul. Zip <br /> Anenron of: Oma No. Omar Inelrucliom <br /> Identify by Direction DapsCity graMlSVpplir Grade Appoa.Age StNVFbwgbN <br /> 6. TANK($) INVOLVED <br /> � 'W ✓ DD C' ✓IE�:� Vr. ' ra <br /> Location 1 Cow Fits Vams S'phones Pumps <br /> �4rr <br /> 7. INSTALLATION G� r- <br /> DATA GSI i no <br /> Nein headdriveway.eevaw . Concrete.Black Top. Sin,nMln make.Drop Suction.Remob. <br /> RNr OI paliDn_are. Es".alt. ruder.Remote filly Size.Menilolee0 Wnicn IMtf r thele 11 lnowe <br /> Is the water over the Tank? <br /> 6. UNDERGROUND <br /> YN No <br /> WATER Depth ip the Watesb"ta ❑ <br /> Tanks fo be filled_Nr. Dab Aranee by— deme T^.prone <br /> 9. FILL-UP <br /> ARRANGEMENTS EutN paAect to"top o9"and run TSTT. Now and who to provide a [ons,der NO Lead. <br /> Terminal or Other correct NOT APPLICABLE <br /> Iw rwtice or ineuiry Reme h�epnow <br /> ComwnY <br /> CONTRACTOR, <br /> AECHANICS. Not appliGable <br /> ny other,contracl« <br /> .Chad <br /> 11 <br /> ATION <br /> aARKS <br /> Addnloml mirmalwn on any items above.officials or others b G edviwd when feeling is in progress or completed.Vmnob a obwrvab poem <br /> during test etc. <br /> .m Tests were made on the above tank systems in accordance with test procedures prescribed for ti Tide <br /> EST RESULTS as detailed on attached test Cort.wim resutis as fellows: -e�'�" <br /> Tank Identification Tight Leakage Indicated Date Tested <br /> This is to Certify Nat thew tank systems wed bated rl the dates)shown.Those indicated as"Tight"met the crtleAa etablishad by <br /> 13. CERTIFICATION the National Fire farotectbr Association PamphW 329. <br /> Clint-nn Denman CHAMPION'S PRECISION TANK TESTING <br /> 1-3-90 Dal. 1451 OAKHURST WAY T�r��I E' T6,maCALIVOR Y7('"95822 <br /> Saturate, a Thermal lemma.... A0du1S <br />