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t 1 <br /> Data dr-j)art for Tank System Tigress Test <br /> petro TIte <br /> PLEASE PRINT TANK TESTER <br /> I. OWNER p,ap.ny USA Gasoline Corp. Station 065 2500 W. Lodi Lodi, CA 95240 <br /> Tank(s) ❑ Plains <br /> ACor.•a <br /> q.pl•a." a Tm.pnan. <br /> Nam• <br /> ACar.x R•puf.nOlW. <br /> 2. OPERATOR <br /> USA Petroleum Corp. 1532 W. Anaheim St. Long Beach, CA 90813 .l.pnon. <br /> Nam. Aparo. <br /> 3. REASON FOR Annual inspection <br /> TEST <br /> (Explain Fully) <br /> 4. WHO REQUESTED Mr. Johan Hansen Dir. Constr./Maint. USA Petroleum Corp 2-20-87 <br /> TEST AND WHEN risingno• <br /> L'pmynr or Anllutlon Du• — <br /> Appt.p <br /> Taponon. <br /> 5. WHO IS PAYING troleum CorpFOR THIS TEST? company.Ag.ncr or moirmp" tenon Apmaruing <br /> Tio. Abonon. <br /> ailpnp wapwu <br /> Cnr S av Lp <br /> An.nuon pf: <br /> Orper No. OIMrlmnucnona <br /> Identity by Direction Capacity Brand/supplier Glad. <br /> 6. TANK(S) INVOLVED Avprox.Age stnl/Fib•,gwa .� <br /> North 12000 USA Regular- <br /> Center 12000 USA Unleaded <br /> South 12000 USA Unleaded Pre ium <br /> Location Cover Fills Vann <br /> 1. INSTALLATION Siphons, Pumps <br /> DATA North of . Gilbarco <br /> Station Concrete 4" 2" <br /> 0 Dispensers <br /> Npnn iNla.pngwar. CPMMI.,al..k Tom Sir,Tn.flo mak.,Drpp <br /> Roy.1 r.d.n..11. Earth.xc lupe q.mou Fill Sucpon.q.mpu. <br /> 8. UNDERGROUND Six. M•ndoerM when anter Mm if known <br /> WATER D n 1M water over IN tank <br /> De7 <br /> Pln t0 me Water table ❑ <br /> yse No <br /> 9. FILL-UP Tanks to be fill" 2100h, 2-20-87 Data Arranged by <br /> Product Nam. T".pnOp. <br /> ARRANGEMENTS Extra lo'YPD Off"and run TM. Mow and who to protide 7 Consider NO La". <br /> Terminal er other contact <br /> to,norce or inquiry <br /> Company N•m. <br /> iabpoon• <br /> 10. CONTRACTOR, <br /> MECHANICS, <br /> any other contractor <br /> involved <br /> r. . <br /> 11. OTHER <br /> INFORMATION <br /> OR REMARKS <br /> Adtliuonal inlormanon on any roma abgve.OffieWa or omen to W aavned wMn(seting i• in progrese Pr eomPnutl.Viaaon or observers present <br /> during leaf x0. <br /> Tanta were made on the above tank sYsema In accordance with tact procedures prescribed for <br /> 12. TEST RESULTS as*"led on attached tnt cnarts with resuha as follows; meati I&T�p <br /> Tank Identdicauon right Leakage Indicated <br /> Dan Tested <br /> R - G.P.H. <br /> U - - <br /> 13. CERTIFICATION This is to certtty the thew tank ayesms wen testes an Usedata(e)shown,Tlwee Indlceed ae"Tighr'mese do s ptasllerud by <br /> the Natlgne FileProtectionAeocytlon Pamphlet 348. ,F�LlJ} <br /> 2-20-87 EARL A. ORTLOFF TIGER TANK TESTING %%}/�r[//� <br /> dal. <br /> 761 T eConlae1.1 or C.mynr. r. Sgnal <br /> Sense No.of nnrmer onnsun, 605 Park Lane Corona, CA 91719 <br /> Sensor Add.., <br />