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DATA C R A R T �— Post o;Nce box 1220 <br /> For Use Willi `�1, 7ulale.Paliloinla93275 <I <br /> r V I,IIIIIIII CONSTIINCTION, INC. <br /> PI o Phone (209) 689.1000 .•,;,� P t_.T11S <br /> NLIDIl4 - i <br /> j W m <br /> 1 LOCATION: 2S'oo ' W 997- Cod; 1–odV <br /> Sum Nv.and/m Cp ., <br /> Y � I Z CIIY _ - 61a1s -. IrNpMnL N0. : <br /> 2 OWNER: <br /> N,nu AJJuu Pmblvn 7rbphom Ne. L}:. <br /> '.I II mrvnt �Ivr <br /> h S OPERATOR. {s� <br /> J Nun. Ordu,Mpr.of OILn AdJ ur(II dill...m Ilan Leu1 eN Alrphsne Ne. <br /> E REASON FOR TEST_Lk <br /> ,�11 •O — – <br /> T I- E TEST RFO VES TED BY! .•��^•� <br /> o Nrn,r PoJdun OnlO Ne.: alNnp Add.... p.' <br /> ` nJ' <br /> ESPECIAL INSTRUCTIONS: � �' Ir• <br /> O ' <br /> cw 7 CONTRACTOR OR COMPAIJY MAKING TEST I <br /> MECIIAHIC(S) NAME - - - <br /> p E IS A TANK TEST 10 BE YES 9 MAKE AND TYPE OF <br /> MADE Wllll THIS LINE TEST? -PUMP 011 UISI'ENSEIIS <br /> r I D ,E� � COVEn APPROxIMATE �- <br /> 16 WEATUEn t� (� TEMPEnATURE IN TANKS�'F—_'C <br /> OVER LINES GO74-GP t!L- <br /> —T— P BURIAL DEPIN � q! <br /> Cunc,elr.plrtL T.P.em. <br /> 1/ 11HESSUGEl 16 VOLUME lE TEST RESULTS <br /> -01 IDENTIFY 12 TIME 1] LOG OF TEST PROCEDURES, <br /> ASCTESTEII ID (MILITARY) . AMDIEII( 1FMPERAIURE, yll OO kpa --"nFADINO NET <br /> WFAIIIEII, EIC, aEFOGE AFTEO UFFOOE AFTER 'CHANGE - CONCLUSIONS, REPAIRS AND COMMENTS '. <br /> — - 5 -- ,.'�.e «T_. 5� SSG p'o 7G - ,o lO !' <br /> —/ � <br /> ro/4� _I 3�-- Csry*d,_LrjU rLT, 'LfO .7 0 E07 & told — •y� (o „rr oO`� ca�loinS �. ,r �.s <br /> .to70 061e ooh $ . <br /> L( k 57C) . obF Lo - 1ooZ <br /> �� r � — root ' s: <br /> ri <br /> — I? i;oGl — 1001 _ , OL99 <br /> 6(�0 _ 00 1— m0;7-- <br /> 3 0 <br /> $.X40 —�O Lo (oo . oS 100 003 0. <br /> A. <br /> E /} <br /> 3 r tf:� / U Eos • S5 •.0 C, e 0 L/ I t : <br /> PU5-S <br />