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CRISP TANK TESTING / UWrvtitUr�i1C <br /> 140 W. ALDER <br /> STOCKTON, CA 952014ADDRESS <br /> HORNER EASY TESTING METHOD � <br /> 7 0 7 o-r�-! <br /> WORKSHEET CITY-STATE-ZIP CODE <br /> B F e,6 A)C4 CR ter' <br /> -/ // OWNER OF TANKS <br /> TANK No. ""� TEST LEVEL PRODUCT LIQ CAPACITY CHART CAL 00ML -- I (A) <br /> 000 <br /> _ o� e <br /> } 7e As Abo ,� <br /> TTEMP <br /> d44iiS 100ovS ADDRESS <br /> PRODUC — COEFFICIENT TEMPCAL MEASUREDGRAVITY A`7/ / <br /> QA(E) <br /> EST LEVEL LEVEL GAIN+ x (A) LEVEL TEMP. TEMP. GAIN+ x(B) TEMP. FINAL CITY-STATE-ZIP CODE <br /> .d. START END LOSS— x(A) RESULT START END LOSS— x(B) RESULT RESULT /'TIME <br /> f X x ' ] ' � y 60 Xi�Q �0 3 -.©/ 1() 00 OPERATORS NAME AT SITE <br /> - X = � f O�� ' 004, g- 2 . 02-3,S- <br /> A TYPE OF SYSTEM <br /> SUBMERGE ❑ SUCTION <br /> - _ LENGTH OF COLOR CODE OF PRODUCT <br /> X 1 CJ V j f�7 ` • 0 r � / �/ * 00.2, X -3 0 - '00 7-2, X006 3 FILL PIPE <br /> CLEAR ORANGE <br /> f� — .... / 0 �3 RED <br /> x = 46 0,2,5- r 02 f -001 <br /> , 0 j X + -92 - 0.39 I(�! �U DIAMETER OF TANK 9❑C METAL <br /> �A` fJ / J 7 n ❑ FIBERGLASS <br /> X, OO/ 'P • L/©qQ • N <�.�`++ + V� 3 X 'iL�O 0/OG+ • Q/C�O TYPE OFRECOVEORYSYSTEM <br /> [:]BALANCE ❑ REQ JACKET ❑HEALEY <br /> X = <br /> , 4.28 .o©2, x = . as f� nln�y� <br /> WATER LEVEL IN TANK <br /> 3 <br /> "" X '00/4 .pp �.215� .SAS = X 3.0Q= =.Q C1 <br /> DEPTH OFGROLJND WATER (IFKNOWN) <br /> x = pig - , o zg = - X . 9z= �' 7 40 aejl"" gtu"-j <br /> DATE/TIME STORAGE SYSTEM FILLED <br /> DATE TIME <br /> STATION LOCATION CERTIFIED TIGHT - SES -84 <br /> AGE OF TANKS <br /> ADDRESS --LEAK BATE PER HOUR I C <br /> CITY /lr A C L!J�STATE S c� f; r4 OPERATOR F S AGE OF LINES <br /> DATE- % ` �+ - - SIGNATURE <br /> TESTING FLUID. IF DIFFERENT THAN <br /> STORED MATERIAL <br /> OVER FOR REMARKS <br />