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7. <br /> T <br /> 5F CHAMPION'S r_.ECISION TANK TESTING <br /> Ma� 1451 OAK MST WAY <br /> T.T SACRAMENTO, CA 95622 <br /> OEy � <br /> DATE Of Ew OWNEA <br /> TEST LOCATION <br /> OCATION: Slwl Na AMLl4�Cwr GN <br /> SBN <br /> n a1' <br /> WNER: WwR �'� •�_ <br /> PEMT011: � WFu OW.W OWE AEOiw(II tl11nM 1ti+LwAo�l L <br /> cEP Z <br /> EASON FOR TEST_ <br /> -EST REQUESTED BY: wN p yy, Obr Na BER"AO <br /> ,PECIAL BISTRUCTIONS: <br /> :ONTRACTOR OR COMPANY MAKING TEST <br /> AECHANN:(S) NAME <br /> S A TANK TEST TO BE ❑ YES 9 MAKE AND TYPE OF <br /> .ADE WITH Tb" EINE TESTI PUMP OR DISPENSERS <br /> NO COVER APPROXIMATE <br /> ,FATHER TEMPERATURE IN TANKS-'F_'G OVER LINES ` r 'Tes K BURIAL DEPTH <br /> 14 PRESSURE O VOLUME <br /> ii IOENTIFYADr T7 LOG OF TEST PROCEDURES. READING NET <br /> EACH UNE Tl TIME AMBIENT TEMPERATURE. OR We <br /> AS TESTED EMIUTAIM WEATHER, ETC, BEFORE AFTER BEFORE AFTER CHANGE <br />