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LKI ,r IAN& It3( ♦ING Aqq <br /> 140 W. ALDER •A �IJ'3 p 5 <br /> STOCKTON, CA 95204 C Al�'/�Anit� <br /> HORNER EASY TESTING METHOD �`\ ADDRESS <br /> xp <br /> WORKSHEET CITY-STATE-ZIP CODE <br /> lo� �g F R. ASC H C .0 2 3 <br /> OWNER OF TANKS <br /> TANK No._ "' .> —TEST LEVEL + PRODUCT a;!SCI CAPACITY PQ Q 0 CHART CAL 10QA/ D./^ (A) <br /> _ 4, f r fi�-�2 t� Arne G S bbv( <br /> •DOD Ts- ADDRESS <br /> MEASURED GRAVITY A 91 PRODUCTTEMP COEFFICIENT _QQfn_CFD TEMP CAL_,00QQ M 3 .9,E (B) <br /> TEST LEVEL LEVEL GAIN+ x(A) LI<VEL TEMP. TEMP. GAIN+ x (B) TEMP. FINAL CITY-STATE-ZIP CODE <br /> O. START END LOSS- x(A) RESULT START END LOSS- x(B) RESULT /RESULT TIME <br /> Lgr7X •0014 r V Ogj .�Z I,S' -� :�/,� % ��� may( a 3o OPERATORS NAME AT SITE <br /> �1(J <br /> 14 & 1 Tk L/LA_j r s G <br /> X .� ifp ,�, •�� � X `9�_ � ls�l+S � / TYPE OF SYSTEM <br /> rrCCOO ] V.ad�w k SUBMERGE SUCTION <br /> - Z/9 �� X , �/ ���� `�� / O X .{. 0 '/ /0 9 woo( <br /> SQ LENGTH OF COLOR CODE OF PRODUCT <br /> r4 /'a V v l/ J FILL PIPE <br /> - �� ,J CLEAR ORANGE <br /> _ _ ('/2 t E RED <br /> �3�� - i� . X�h� • o/f �`7 /�7 2 DIAMETER OF TANK Q METAL <br /> V V 4rJl f — / / ✓ <br /> FIBERGLASS <br /> , J X <br /> II s p p/ j D6� 1 f :2 7 • ,� X 340 ♦ e)l F� =.()/9()r 9 �] TYPE OF RECOVERY SYSTEM <br /> f + / E]BALANCE © FLED JACKET E]HEALEY <br /> +� Q4 / <br /> X 04 <br /> e Q.Z.c. t� • d 0 t� X o y r 7�6- WATER LEVEL IN TANK <br /> X :0 / � o t;l�/ +� U • - X p <br /> . 1O �CWT'E�R_ [�IF KNOWN) <br /> 26OYN)2e <br /> = x = �0Q - .02.3 .001 % X •Q� ,Oz ay Is'D0 '1�C.�✓ s.�f✓ <br /> DATE/TIME STORAGE SYSTEM FILLED <br /> 1 DATE TIME <br /> STATION LOCATION <br /> �`� .. er r e.-' CERTIFIEDTIGHT S _ 7-6 6 '?30 <br /> *_ AGE OF TANKS <br /> ADDRESS 1-;?o 7w / c . LEAK RATE PER HOUR <br /> Ilf <br /> CITY /L LCA A44 STATE CC, OPERATOR 'CJ AGE OF LINES <br /> j J <br /> DATE / '~ 2 SIGNATURE ,- r__(L'- - 5 <br /> TESTING UID.IF DIFFERENT THAN <br /> STORED MATERIAL <br /> OVER FOR REMARKS <br />